tci Part B Insider - 2015 Issue 19

Compliance: MACs to Seek Sleep Study Refunds in Wake of OIG Report

Medical records were sorely lacking in this audit. Your polysomnography documentation—or lack thereof—could be your calling card for attracting attention from auditors. On May 20, the OIG released a report detailing its audit of sleep study claims paid by Part B MAC First Coast Service Options. According to the agency, First Coast overpaid practices by a startling $15.7 million for sleep study claims between 2011 and 2012—and CMS wants that money back. It’s likely that other MACs will be scrutinized for sleep study payments as well, so be on the lookout for claim viability...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.