tci Medicare Compliance & Reimbursement - 2005 Issue 3

Rehab: OIG Increasing Scrutiny Of Wound Care

PPOs can hold the key to rehab programs' success.Providers interested in opening an outpatient wound care center will need to steer clear of a growing number of legal and compliance pitfalls.Wound care is one of many rehab-related topics that will be under the HHS Office of Inspector General's microscope in 2005. The 2005 Work Plan specifies that the OIG will be looking at "whether claims for wound care services were medically necessary" and billed according to Medicare requirements. The OIG also will examine what providers are doing to prevent inappropriate payments for wound care. To stay...

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