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oig

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    Wiki Credentialing-RESPONSIBILITY OF VERIFYING OUTSIDE PROVIDERS OIG STATUS

    I'm curious as to how other offices work. I work at a University Hospital in credentialing. We have run into referring physicians being added to our dictionary from outside referrals and orders. They are being added to our provider directory as "on the fly". When I worked in a clinic and we...
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    Wiki OIG Audits of high risk diagnosis groups

    In recent audits of Medicare Advantage plans, the OIG has included codes for lung, breast, prostate, and colon cancers. In the report, they state that many of the cancer codes were not supported because the patient "did not have surgical therapy, radiation treatments, or chemotherapy drug...
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