tci Medicare Compliance & Reimbursement - 2019 Issue 4

Industry Note: OIG Adds Podiatry to Its List of Part B Audits

The HHS Office of Inspector General (OIG) added another Part B item to its Work Plan. Though CMS does cover medically necessary foot and lower leg care related to injuries and diseases, “Part B generally does not cover routine foot-care services such as the cutting or removal of corns and calluses or trimming, cutting, clipping, or debridement (i.e., reduction of both nail thickness and length) of toenails,” said OIG. However, submissions that prove medically necessary for things like wart removal and infection may be covered under podiatry and ancillary services, the OIG Work Plan noted. Problem:...

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