tci Part B Insider - 2008 Issue 32

Physician Notes: Practices Still Making Massive Errors Regarding Units of Service Billed, OIG Says

Plus: Don't hold your breath waiting for an answer from CMS' ESRD mailbox -- the service is closed in preparation for ESRD FAQsWould you notice if you performed a $146 service and your payer reimbursed you $36,180? That's the type of error that the OIG uncovered in a recent audit of "high dollar payments" made by Trailblazer Health Enterprises.According to the audit report, which the OIG released on Aug. 28, Trailblazer incorrectly overpaid $126,171 to providers for high-dollar services during the audit period. Providers who received the inappropriate payments did not, for the most part...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.