Part B Insider (Multispecialty) Coding Alert

Physician Notes

Plus: CMS to turn on PECOS edits 'soon,' agency says

The OIG wants New Mexico to recover $11 million from a Medicaid home care provider, but the state isn't going along with the idea.

Coordinated Home Health claimed at least $11 million improperly for personal care attendant services in 2006 through 2008, the OIG maintains in a new report. Nearly half of the claims from the 100-claim sample didn't meet requirements, mostly due to attendant qualification issues, the watchdog agency says.

Nearly all the deficiencies the OIG found "involve technical or documentation problems that do not support a conclusion that payments were improperly made," the state says in its response letter to the report. To read the report, visit http://oig.hhs.gov/oas/reports/region6/60900064.pdf.