tci Part B Insider - 2003 Issue 8

FRAUD & ABUSE: OIG Heats Up Griddle the Carriers Make You Dance On

You may be hearing frequently from carriers about some codes you bill often, but it could be the HHS Office of Inspector General pulling the carriers' strings. "Medicare and the OIG drive what the hot buttons are," says consultant Garnet Dunston, CPC, MPC, president and CEO of Dunston Enterprises in Bouse, Ariz. The OIG's Work Plan and other documents provide a blueprint for carrier audits. For example, one client of Spring Lake, N.J.-based HealthCare Resource Management Inc. is facing heavy carrier scrutiny of its billings for bone density screening. That just happens to be one of...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.