tci Part B Insider - 2008 Issue 1

PHYSICIAN NOTES: OIG Semiannual Report Reflects $43 Billion in Recoveries

Audits covered everything from hospice to suppliesThe OIG has released its Semiannual Report to Congress, covering its activities between April and September of 2007. In the report, the OIG notes that its savings and recoveries over the six-month period totaled more than $43 billion. For example, the OIG found that 64 percent of the surgical debridement services audited for service dates in 2004 did not meet Medicare requirements, resulting in $64 million in improper payments to debridement providers. Of those errors, 39 percent were billed with codes that did not accurately reflect the services provided, 29 percent had no...

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