Part B Insider (Multispecialty) Coding Alert
OIG Imposes One of the Largest Ever Civil Monetary Penalties Against Nevada Radiology Practice
PDF
Plus: CMS establishes MLN Matters article to answer your PQRI questions. Think its okay to provide diagnostic tests without physician orders? One Las Vegas radiology practice is paying dearly for making that mistake, among others. The physician-owned practice will pay $2 million to resolve allegations that it submitted false claims to Medicare, the OIG announced in a March 25 press release. The settlement--one of the largest ever negotiated under the OIGs Civil Monetary Penalties authority--will resolve the following allegations against the radiology practice: " Improperly providing diagnostic tests to Medicare beneficiaries without the required treating physicians orders " Billing for certain tests under CPT codes not supported by the medical records " Failing to satisfy certain other Medicare billing and coverage requirements, the OIG noted in its press release. OIG will investigate and pursue enforcement actions against health practitioners who engage in a pattern of billing Medicare for services that were not ordered by the patients treating physicians, said Inspector General Daniel Levinson
Part B Insider (Multispecialty) Coding Alert
- RED FLAGS RULE:
No Red Flags Program? You Could Be Losing Thousands
Tip: Institute your Red Flags program ASAP. You may think the government is implementing the [...] - RED FLAGS RULE:
Act Quickly If Your Practice Identifies a Red Flag
Identity theft is nearly a $50 billion industry. Youve implemented a Red Flags program at [...] - COMPLIANCE:
OIG Advisory Opinion Process Can Be Long,Arduous -- And Costly
The Advisory Opinion will give you peace of mind, so proceed with requesting one if [...] - PART B REVENUE BOOSTER:
Brush Up on Your ICD-9 Know-How With 3 Tips
Confused about fifth digits or V codes? Look no further. Insurers base your reimbursement on [...] - READER QUESTION:
Mind This Year's CPT Deletions for Accurate Botox Coding
Tip: Report chemodenervation guidance once per day, not per injection or injection site. Question: What [...] - Part B Coding Coach:
5 Answers Capture Suture Removal and Related Work
Tip: Your E/M usually requires 2 components -- which means more than problem-focused. If you pigeonhole [...] - PHYSICIAN NOTES:
OIG Imposes One of the Largest Ever Civil Monetary Penalties Against Nevada Radiology Practice
Plus: CMS establishes MLN Matters article to answer your PQRI questions. Think its okay to [...] - In other news ... If your head is spinning with all of the changes between PQRI and e-prescribing, CMS has just the tool for you.
New MLN Matters article MM6394, dated March 20, offers a full breakdown of who is [...]