tci Medicare Compliance & Reimbursement - 2015 Issue 2

OIG Hot List: Misuse of Modifier AA Could Land You In Hot Water

Big Brother — OIG — is watching. The HHS Office of Inspector General (OIG) has its hot list ready for 2015. The takeaway for anesthesiologists’ offices? Be ultra-cautious about using modifier AA (Anesthesia services performed personally by anesthesiologist). Background: The OIG Work Plan details issues that the Office of Audit Services, Office of Evaluation and Inspections, Office of Investigations, and Office of Counsel to the Inspector General will address during the fiscal year. The agency published its latest document on Oct. 31, which outlines the target areas it will be reviewing in 2015. Differentiate ‘AA’ From ‘QK&rsquo...

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