tci Medicare Compliance & Reimbursement - 2006 Issue 33

COMPLIANCE: You Need To Tread Carefully When Billing For Part B Drugs

Physicians can write a Part D diagnosis on prescriptions to avoid hassles.Physicians can't bill Medicare for Part B drugs unless they can prove that they administered them in the office. The U.S. Attorney's Office announced a settlement in which a medical practice agreed to pay just under half a million dollars to settle allegations that it billed Medicare improperly for drugs. The practice billed as if the physician had administered the drugs, when in fact the patients took the drugs home to administer themselves. Even if a drug isn't on the list of "usually self-administered drugs,"...

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