tci Part B Insider - 2012 Issue 43

Compliance: OIG Revisits Recommendation to Adjust Global Surgery Fees Based on E/M Services

OIG discovered inconsistent billing for global surgery and believes adjustments could save CMS over $97 million. When the OIG talks, not everyone listens, according to a new report. The OIG makes hundreds of recommendations each year, advising practices and carriers to tighten up documentation, correct their modifier use, or implement other programs. On Dec. 5, the OIG released its Compendium of Unimplemented Recommendations, which revealed that practices and facilities have ignored many OIG suggestions. Case in point: In 2009, the OIG found that global surgery fees for eye procedures included a set number of E/M services, but that physicians...

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