tci Medicare Compliance & Reimbursement - 2013 Issue 6

Compliance: Waste Not, Want Not Where Drugs Are Concerned, Says OIG

Target: Multi-use drugs. Medical practices were given a slap on the wrist by the Office of the Inspector General (OIG) for wasting precious units of multi-vial drugs. You can now expect to have to repay for units which you did not use but billed incorrectly because the vial had to be thrown away. The OIG’s report, which the agency issued on Feb. 5, revealed that when the OIG audited claims for full vials of Herceptin — a breast cancer drug — it found that 80 percent were billed incorrectly, totaling more than $1 million in overpayments to medical...

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