tci Part B Insider - 2006 Issue 13

CONSULTATIONS: Prepare For A New Crackdown On Consult Billing

Three out of four consults billed incorrectly, OIG says Now’s the time to review how you bill for consults--before the feds come and start investigating your files. Consults look like a juicy target to fraud-busters in the wake of a new report by the HHS Office of Inspector General that found 75 percent of consults didn’t meet Medicare requirements. Only one third of the dollars billed in 2001, $1.1 billion out of $3.3 billion, were incorrect, but that’s still a high price tag. Here are the problems: • Nearly half of all consults...

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