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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.

Practice management expert Lisa Maciejewski-West looks at the recently released 2016 OIG Work Plan and deduces that the Office of Inspector General (OIG) seems to have beaten back the big fraudsters -- and may be coming after you next.

Ensure your claims for prolonged services are documented and justified because the HHS Office of Inspector General (OIG) will focus on that area, according to one new issue in its 2016 Work Plan.

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