tci Part B Insider - 2005 Issue 23

FRAUD & ABUSE: Resident Supervision, Upcoded E/Ms Spell $1.9 Million Payback

Nail debridement, ASCs on OIG hit listIf you're skating close to the edge with some of your coding or billing practices, beware a sudden draft from the HHS Office of Inspector General.The OIG cites several cases of physician fraud in its semiannual report for the first half of fiscal 2005. The fraud watchdog reaped $266 from provider audits and $1.1 billion from investigations, and federal health care programs saved nearly $17 billion by following the OIG's recommendations. The biggest ticket item this time around may be the $1.9 million paid by Temple University Physicians in Pennsylvania...

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