tci Part B Insider - 2015 Issue 24

Therapy Claims: OIG: 62 Percent of PT Claims Billed Incorrectly

This audit showed $1.4 million billed improperly by just one practice. If you’re providing outpatient physical therapy, it’s time to review your records to ensure you don’t suffer from the same issues that the OIG recently uncovered in its audit “AgeWell Physical Therapy & Wellness, PC, Claimed Unallowable Medicare Part B Reimbursement for Outpatient Therapy Services,” which was released earlier this month. The OIG reviewed claims by AgeWell Physical Therapy because it was a top outpatient PT provider in New York State. Out of 100 claims that the OIG reviewed, only 38 were...

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