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Audits & Assessments
Regulatory MonitoringDecember 15-22: CMS and OIG Issuances
CMS adds codes covered under serum iron studies NCD
On December 18, CMS extended coverage under the serum iron studies NCD to ICD-9-CM codes 285.22 and 285.29.
OIG seeks suggestions on safe harbors, fraud alerts
On December 17, the OIG published a notice in the Federal Register to solicit proposals and recommendations for developing and modifying safe harbor provisions under the Federal anti-kickback statute (section 1128B(b) of the Social Security Act), as well as developing new OIG special fraud alerts.
View the Federal Register notice.
OIG issues review of high-dollar payments for outpatient services processed by Palmetto GBA for the period January 1, 2004, through December 31, 2005
On December 17, the OIG issued a review of high-dollar payments for outpatient services processed by Palmetto GBA, a fiscal intermediary, for the period January 1, 2004, through December 31, 2005. The OIG determined that during this period, Palmetto made 22 inappropriate payments, including overpayments totaling $1.8 million.
OIG issues reports on adverse events
On December 16, the OIG issued two reports on adverse events in the hospital setting.
CMS launches annual provider satisfaction survey
On December 16, CMS announced the launch of its annual survey of providers’ satisfaction with Medicare contractors. CMS will send the survey to randomly selected providers.
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