tci Medicare Compliance & Reimbursement - 2006 Issue 20

PHYSICAL THERAPY: PT Claims Not OK, Warns OIG

Medicare spends $136 million on improper claims.Providers' physical therapy claims could be a legal nightmare waiting to happen if their documentation isn't up to snuff.The HHS Office of Inspector General found that 91 percent of physical therapy that physicians billed in 2002 had serious problems. Medicare spent $136 million on PT that may not have been billed properly, the OIG warns in its new report, "Physical Therapy Billed by Physicians" (OEI-09-02-00200).The biggest problem is inadequate documentation, which left reviewers unable to figure out whether the therapy services met quality standards. The OIG also found problems with...

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