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January 19-26: CMS and OIG Issuances

By Medicare Weekly Update

Frequently asked questions

On January 23, CMS issued new/updated frequently asked questions (FAQ) related to Medicare fee-for-service payment. CMS also issued FAQs related to the Correct Coding Initiative edits.

View the fee-for-service FAQs.

View the Correct Coding Initiative FAQs.

OIG reviews high-dollar payments for Medicare outpatient services processed by Pinnacle Business Solutions, Inc., during calendar year 2005

On January 16, the OIG issued a report on high-dollar payments processed by Pinnacle Business Solutions, Inc., a fiscal intermediary, for Medicare outpatient claims in 2005. The OIG found that all four of the high-dollar payments Pinnacle made during that period were inappropriate.

View the OIG report.