Auditing/Compliance Tips & Resources

Documentation Tip: An Essential Element for Physical Therapy Claims

Physical therapy has made it in the Office of Inspector General's (OIG's) work plan for several years running. With medical reviewers on the lookout for high utilization of outpatient physical therapy services, coders and billers need to be vigilant about how their physical therapists are documenting services ...

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Proper Use of Modifier 91

Modifier 91 Repeat clinical diagnostic laboratory test is used to report the same lab test when performed on the same patient, on the same day, to obtain subsequent test results...

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OIG Proposes Safe Harbor and CMP Exception Expansion

Office of Inspector General (OIG) proposed a rule amending expansion of federal Anti-kickback Statute safe harbors and the civil monetary penalty (CMP) rules. The proposed rule expands safe harbors that protect certain activities from Anti-kickback Statute prohibition and...

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