tci Part B Insider - 2009 Issue 25

PHYSICIAN NOTES: OIG Reminds Practices to Watch Carefully When Selecting Place of Service Codes

Plus: ADRs don't require you to resend your initial documentation, one MAC says. If you feel like place of service errors are insignificant, you should know that the OIG feels otherwise. You may be aware of the fact that your physician earns higher reimbursement when he performs a service in his office versus those he performs in hospitals or other facilities, because CMS includes your office's overhead costs in that fee. But a recent OIG review of Part B services performed in 2005 and 2006 estimated that "carriers nationwide overpaid physicians $20.2 million" for services that were assigned...

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