OIG Report: Poorly Coded Doctor Claims Cost Medicare $33 Million
Posted on Tuesday, May 12, 2015 9:41 AMA new OIG report has found that more than $33 million Medicare funds might have been overpaid to physicians as a result of poorly coded doctor claims between January 2010 and September 2012. The OIG discovered this after an audit of claims for services physicians performed in ambulatory care centers and other outpatient settings. The coding errors, however, led Medicare contractors to believe they were performed in physicians’ offices or clinics and have been attributed to “internal control weaknesses at the physician billing level and to insufficient post-payment reviews at the Medicare contractor level to identify potential place-of-service billing errors.” So far, most of physicians cited have expressed their intent to refund potential overpayments for incorrectly coded services. Click here to see the OIG report. Click here to read more.
Corridor is a trusted home health and hospice consulting partner to agencies both large and small. We provide the most up-to-date comprehensive homecare industry educational resources and consulting available.
For the most important industry updates and news that impacts home health and hospice, please make sure to sign up for our weekly newsletter to receive the latest up-to-date industry information direct to your inbox!
For additional information, please contact Corridor at 1-866-263-3795Go Back