Oct

13

Note: Recent OIG Reports and Medical Review Implications

By Medicare Weekly Update

Editor’s note: Debbie Mackaman, RHIA, CHCO, regulatory specialist for HCPro, Inc., is the author of this week’s note from the instructor.

In last week’s note, we looked at the OIG Work Plan for Fiscal Year 2010. There were many issues listed for both Part A and Part B that will be on the radar for a targeted review. Hospitals are encouraged to closely examine the OIG Work Plan as part of their annual compliance program review process.

In addition, reviewing OIG audits can help hospitals and physicians identify some challenging areas within their own operations. This week, CMS published Transmittal 574 that focused on four recent OIG reports:

• Part B Chemotherapy Administration Payment and Policy;
• Prevalence and Qualifications of Nonphysicians Who Perform Medicare Physician Services;
• Inappropriate Medicare Payments for Chiropractic Services; and,
• Part B Billing for Ultrasound.

Click over to the MedicareMentor Blog to read more.