tci Part B Insider - 2007 Issue 5

PHYSICIAN NOTES: OIG Is Watching Your Doctor's Nursing Home Visits

Part B payments 'vulnerable to fraud,' watchdog saysNursing homes could be hotbeds of inappropriate billings, warns one government agency.Your doctor's Part B claims for services to patients who are in a nursing home but not during a Part A-covered stay are -particularly vulnerable to fraud and abuse,- warns the HHS Office of Inspector General (OIG) in a new report (OEI-05-06-00240). Congress has asked the OIG to keep an eye on doctors billing for services that the nursing home may already be billing for separately.The OIG's new report (-Medicare Part B Services For Nursing Home Residents-)...

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