tci Part B Insider - 2008 Issue 36

Compliance: OIG: You Can Hire A Contractor to Process Pre-Authorizations

But the arrangement musn't induce referralsIf you abhor the tedious job of performing insurance preauthorizations, you may be able to outsource the task, according to a new OIG advisory opinion.According to the opinion, posted on Sept. 26, a company asked the OIG whether its proposed arrangement would violate the Anti-Kickback Statutes.The proposal: Under the arrangement, the company ("Newco") would manage a contract with radiology and imaging centers across the country to provide insurance preauthorizations when patients' insurers requested them.In return, the imaging centers would pay the company a set fee for each preauthorization processed, "whether or...

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.