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2013 OIG Workplan: You’re Doing it Wrong

OFFICE OF INSPECTOR GENERAL DEPARTMENT OF HEALTH AND HUMAN SERVICES SEAL

 

 

 

 

 

 

 

 

 

The 2013 Work Plan for the OIG has been released and here are some of the top items that relate to medical practices. This is a great list to use for review and discussion – Is your medical practice doing this correctly?

Incident-To Services Performed by Nonphysicians

Reasons why practices are not billing these services correctly:

  • Lack of understanding of incident-to
  • Trying to avoid the 15% reduction in reimbursement for services provided by credentialed nonphysicians
  • Difficulty in documenting who provided the services for charge entry

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Posted in: Collections, Billing & Coding, Compliance, Medicare & Reimbursement, Medicare This Week

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