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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.
Perhaps human evolution someday will allow us to provide care to the souls of the deceased, but until that time comes, CMS had better shore up its claims allowances.
Here’s one change to look out for on Dec. 1, when the proposed changes to the ASC X12 claim form is released: The new format could require providers to include the device identifier (DI) segment of the unique device identifier for implanted devices such as pacemakers or defibrillators.
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.
Sweet Dreams, a certified registered nurse anesthetist group, will pay more than $1 million to resolve allegations that it was involved in two kickback deals with ambulatory surgery centers, the HHS Office of Inspector General (OIG) announced Aug. 5.

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