tci Medicare Compliance & Reimbursement - 2007 Issue 45

Radiology: Watch For OIG Scrutiny Of Imaging Claims

Stay on your toes to keep advanced imaging claims on the straight and narrow Watch out: Yours could be one of the radiology practices where Medicare imaging claims shot up more than 1,000 percent over a 10-year period, and the HHS Office of Inspector General (OIG) wants to find out why. In October, the OIG released a report noting that advanced imaging services grew by over 400 percent between 1995 and 2005, based on Medicare reimbursement data. Some states' usage only grew by 24 percent, while others' went through the roof at over 1,000 percent. The OIG...

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