tci Medicare Compliance & Reimbursement - 2014 Issue 4

Compliance: Consider These Additional OIG Hotspots For 2014

Although E/M services and place of service codes are used almost every day in Part B practices, those aren’t the only issues that the OIG will be spotlighting this year. These topics are also covered in the 2014Work Plan: Chiropractic Services: The OIG will be investigating vulnerabilities in chiropractic billing trends, as well as researching whether chiropractors collected payments for services that aren’t covered, including maintenance therapy. Big-Ticket Radiology Services: Medicare doesn’t pay for diagnostic radiology services that aren’t reasonable and necessary, so the OIG plans to investigate whether payments for high-cost diagnostic radiologist tests...

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