tci Part B Insider - 2004 Issue 11

Physician Notes: Consultation Payments May Come With Snares Attached

If you're not 100 percent sure the consultation services you're billing meet all the correct criteria, you may be hit with a cost adjustment from the HHS Office of Inspector General. The OIG has its eye on consultation-related billing snafus, and providers who routinely charge for these should be especially clear on the correct protocol. A Massachusetts doctor who thought she was performing the higher-paying consultations had a rude awakening from investigators. Vasant Thacker was smacked with a false claims suit alleging that 1,800 of the consult visits she billed to Medicare and Medicaid between 1997 and...

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