Part B News | Editors' Blog

OIG Work Plan 2017 adds E/M, financial relationships to the watch list

by: Julia Kyles, CPC Nov 10, 2016

Providers who offer chronic or transitional care management services should take note of the latest work plan from the HHS Office of Inspector General (OIG). These services are two of the six new Work Plan targets that are likely to impact physicians and non-physician providers who bill Medicare Part B.

3 ortho practices pay big fines for reimported hyalganate claims

by: Laura Evans Oct 4, 2016

If your viscosupplement supplier is offering products at impossibly low prices, be wary. It could be a sign the supplier is illegally reimporting the medications. That means you may not seek reimbursement from a government payer (such as Medicare or Medicaid) for injecting them.

MAC: If it’s not a signature, don’t write it on Medicare claims

by: Roy Edroso Oct 3, 2016

It’s only one Medicare administrative contractor (MAC) at the moment, but expect others to join this prohibition against handwritten entries on claims.

$2.95 million settlement of Mount Sinai overpayments -- are you next?

by: Roy Edroso Aug 25, 2016

State and federal prosecutors just landed a big settlement on an overpayments case against a major hospital chain and associated companies -- and it shows that at least one court takes the 60-day repayment window very seriously.

OIG conducts wireless security on CMS, gives tight-lipped thumbs-up

by: Roy Edroso Aug 23, 2016

The Office of Inspector General (OIG) recently revealed it submitted CMS to “wireless penetration testing.” Don't worry, it’s not as bad as it sounds.

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