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In case you were thinking federal investigators would never be interested in your therapy claims, here are three practices from today's HHS OIG website that would likely disagree.
A conviction for health care fraud isn’t the only criminal penalty that awaits someone involved in Medicare fraud. Theft of government property is another possibility, a recent Department of Justice (DOJ) press release reveals.
The number of employed physicians surpassed those operating private practices for the first time on record, and a generational shift is underway among younger generations: Only 30% of physicians under the age of 40 are self-employed.
The good news: You may be due for additional reimbursement retroactive to Jan. 1. The merely OK news: You’ll have to check your claims and ask your Medicare administrative contractor (MAC) for an adjustment. The not great but could be worse news: You may owe your MAC money on some claims, but it’s just a few cents per claim.
All told, 273 codes are proposed to be added, 30 codes revised and 21 invalidated in the ICD-10-CM code set for fiscal year 2020. The code changes, once finalized, would take effect Oct. 1, 2019. CMS issued the proposed lists of new, revised and invalid codes April 23 in conjunction with the proposed inpatient hospital prospective payment system rule.

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