tci Part B Insider - 2003 Issue 25

Fraud and Abuse: Watchdog Barks Out Dirty-Dozen List of Coding Errors

If you're concerned about avoiding the most heinous coding problems, the HHS Office of Inspector General's annual Work Plan is a must-read. After all, the carriers are reading the OIG's hit list as well. The OIG just published its Work Plan, and the agency lists a dozen areas it will keep an eye on. The OIG plans a study on consultations to see whether physicians have been billing appropriately for them. The agency also has its eye on evaluation and management coding, especially the high volume of high-level E/M codes that lead to bigger Medicare payments.  Also...

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