tci Part B Insider - 2011 Issue 17

Compliance: OIG Finds 69 Percent Error Rate in New Outpatient Audit

Avoid these common mistakes so you won't have to refund your MAC.If you're billing an incorrect number of drug units on your claims, you could be collecting thousands more than you deserve--and you need to pay it back. That's the word from the OIG, whose latest report was released on April 22. The report, entitled "Review of Medicare Payments Exceeding Charges for Outpatient Services Processed by Noridian Administrative Services, LLC, in Jurisdiction 2 for the Period Jan. 1, 2006 through June 30, 2009," shed some light on common mistakes that Part B practices make, resulting in millions...

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