An OIG review shows Medicare overpaid outpatient hospitals as much as $ 25.8 million for complex simulations billed during audit period. Between 2013 and 2015, Medicare paid 1,193 hospitals $ 109,197,933 in bundled payments for intensity modulated radiation therapy (IMRT) — about $ 25,754,171 more than they should have, according to the Office of Inspector General (OIG). The […]
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Tag Archives: Improperly
CMS Improperly Paid Physical Therapists Millions
A medical review conducted by the Office of Inspector General (OIG) found 61 percent of claims (out of 300 sampled) for outpatient physical therapy services did not comply with Medicare medical necessity, coding, or documentation requirements. Although the Centers for Medicare & Medicaid Services (CMS) generally disagreed with OIG’s findings, a review of the requirements […]
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Syracuse Area Medical Practice Improperly Billed for Moderate Sedation Services
New York Spine and Wellness Center (under the umbrella of New York Anesthesiology Medical Specialties, P.C.) agreed today to pay $ 1,941,850.29 to resolve allegations that it improperly billed for moderate sedation services.
The post Syracuse Area Medical Practice Improperly Billed for Moderate Sedation Services appeared first on The Coding Network.