OIG Report

Medicare Ophthalmology Audits: Is Your Practice Ready?

Medicare, Medicaid & Private Payor Updates /

(October 26, 2015): Last month, the Department of Health and Human Services (HHS), Office of Inspector General (OIG) released a study entitled “Questionable Billing for Medicare Ophthalmology Services.” As the study findings reflect, the OIG concluded that for the year 2012, approximately $171 million of the Medicare payments made that year for ophthalmology services were […]

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Improper Medicare Payments Are Still Being Made for Deceased Beneficiaries

Medicare, Medicaid & Private Payor Updates /

(November 20, 2013): While most health care providers and suppliers are diligent in their efforts to ensure that Medicare services are submitted appropriately, mistakes and other improper billings still take place. Two areas of continuing concern involve providers and / or suppliers who submit fraudulent claims to Medicare seeking reimbursement on behalf of deceased beneficiaries

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