tci Medicare Compliance & Reimbursement - 2005 Issue 2

PHYSICIANS: Goodies In Fee Schedule Could Make Docs An OIG Target

Physicians should watch out for pitfalls in new demo project, PT provision. The 2005 Physician Fee Schedule contained a few provisions intended to soften the blow of sharp cutbacks. But those consolation prizes could be booby-trapped.In particular, Medicare will pay $130 a day for a demonstration project in which physicians will ask chemotherapy patients about nausea, fatigue and pain. The Centers for Medicare & Medicaid Services has yet to issue billing details, but some experts are wary. CMS hasn't yet made clear what sort of documentation physicians will have to produce to prove they really asked the...

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