tci Part B Insider - 2009 Issue 15

PHYSICIAN NOTES: Aberrant Claim Patterns for Inhalation Drugs in South Florida Set Off OIG's Radar

Plus: E-prescribing might be making your head spin, but CMS finally offers a sample e-script claim that could guide your way. If you thought the OIG wasnt looking at your claims from all possible angles, its time to think again. A new OIG report, issued on April 22, notes that although only two percent of Medicare beneficiaries live in South Florida, this area accounted for 17 percent of Medicares total spending for inhalation drugs in 2007. Making the billing trend even more suspicious, the OIG found that the beneficiary listed on 62 percent of the S. Florida inhalation drug...

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