tci Part B Insider - 2004 Issue 24

INCIDENT-TO BILLING: Your Incident-To Services Could Spark An Unpleasant Incident

6 tips for avoiding $150 K payback Incident-to billing is on the HHS Office of InspectorGeneral's work plan for 2004 -- do you bill correctly? Massachusetts-based Arbour Elder Services, Inc. and Hri Clinics, Inc. settled allegations May 20 that they lapsed on incident to billing by paying the government $148,823, according to U.S. Attorney Michael Sullivan. Arbour was accused ofsubmitting fraudulent claims to Medicare for nursing facility assessments on new and established patients, subsequent nursing facility care and pharmacological management services. The feds claim the services were allegedly provided by clinical nurse specialists, but were coded as...

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