tci Part B Insider - 2003 Issue 25

Physician Notes: OIG Gives Clean Bill of Health to Physician Claims

The HHS Office of Inspector General may have an ambitious agenda for overlooking physician claims in the future, but the OIG's latest findings on physician claims are pretty encouraging.   In a new report on National Correct Coding Initiative edits (OEI-03-02-00770), the OIG found that the NCCI Edits are mostly very successful. Medicare paid appropriately for 98 percent of services targeted by NCCI edits in 2001. And of the remaining 2 percent, an overwhelming 70 percent may have been paid correctly as well because of adjustments when two services bundled by the NCCI were paid on two different days...

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