Part B Insider (Multispecialty) Coding Alert

Reimbursement

If your practice provides enteral nutrition, you could be in for a nasty cut. The HHS Office of Inspector General wants deep cuts to payments for category I enteral nutrition formulas.
 
The OIG found in a Feb. 2 inspection report that Medicare paid 70 to 115 percent more for enteral nutrition than suppliers. Now the OIG wants the Centers for Medicare & Medicaid Services to use its "inherent reasonableness" authority to cut nutrition payments up to 15 percent per year. CMS says procedures for using that authority are still being hashed out.

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