Healthicity Blog

In February 2019, the OIG has made multiple additions to its Workplan.  There are some significant additions, so let’s look at a few of them.

It’s no secret that thousands of Americans are killed every year due to opioid overdose.

1. Genetic Testing Company Agrees to Pay $1.99 Million to Resolve Allegations of False Claims to Medicare for Medically Unnecessary Tests –

Medicare pays physicians based on diagnostic and procedure codes derived from medical documentation.

For a Medicare patient to be eligible for coverage of post-hospital extended care services, they must be an inpatient in a hospital for not less than 3 consecutive calendar days before being discharged from the hospital.

On January 31, 2005, the OIG published its guidance on the Seven Elements for Effective Compliance.

1. Physician Sentenced to Prison for False Billing Scheme –

Modifier 26 can be confusing, so we’d love to break it down for you.