Healthicity Blog

The OIG recently posted new work plan items in their May 2018 update online. There are two items in particular that I think all of you need to know more about.

1. Oahu Physical Therapist Pleads Guilty To HealthCare Fraud –

Wait! Don’t open that bottle of champagne just yet! You submitted your MIPS but it looks like you might not be done with 2017, after all.

Q1: Can a physician and an NPP of the same specialty and the same group are both bill critical care code 99291 if documenting the critical time for the patient?

What You Need to Know About the DOJ OIG Annual Report

On April 6, 2018, the OIG and DOJ posted the annual report for fiscal year 2017 for the Health Care Fraud and Abuse Control Program.

1. Healthcare News: Captured Fugitive – “On March 23, 2018, fugitive Antonio Quevedo-Ledo was detained by U.S. Customs and Border Protection at Miami International Airport after arriving from a flight from Cuba.

For fun, let’s take a short quiz. Would you say that the following scenarios would be coded as a new or established patient?

If your organization provides outpatient physical therapy services, it’s probably a good idea to become familiar with the OIG’s latest work in this area.