Inside Angle

From 3M Health Information Systems

Tag: OIG

Eyes on Eylea and Lucentis

August 9th, 2019 / By Divya Verma, RHIA

Recently, I came across an OIG announcement “Review of Medicare Part B Claims for Intravitreal Injections of Eylea and Lucentis” released in June 2019. Upon reading this announcement, I pulled […]

The importance of medical necessity compliance: Recent actions by the U.S. Attorney’s Office and the OIG

July 16th, 2018 / By Barbara Aubry, RN

I’ve been talking about this for years. I still see folks who don’t think compliance with medical necessity polices is critical. Believe me, I understand human nature; noncompliance can be […]

Caution ahead: Coding of right heart caths (RHC) with a biopsy

May 2nd, 2018 / By Rebecca Caux-Harry

At AAPC’s annual Healthcon conference in Orlando, Florida, Dr. David Zielske (also known as Dr. Z) had a session on Interventional Radiology, Cardiology and Vascular Surgery coding. As you can […]

Fallout from the opioid crisis or improper coding?

March 7th, 2018 / By Barbara Aubry, RN

I review OIG updates as they are released and I saw something last week that unfortunately, I did not find surprising. Per the OIG report: “Payments made to providers for […]

Article: Coders Beware: CMS Surgical Audits Began July 1

With Barbara Aubry, RN

3M’s Barbara Aubry urges coders to provide adequate clinical documentation to support CPT code 99024.

The OIG turns their attention to Provider-Based Clinics

June 27th, 2016 / By Rebecca Caux-Harry

I have always wondered why the reimbursement for services provided at a Provider-Based Clinic (PBC) was higher (often more than 50 percent higher) than the same services provided at a […]

Can EHR Convenience Features Lead to Fraud?

January 20th, 2014 / By Camille Cohen

Well, it appears that the convenience features in Electronic Health Records (EHRs) can be perceived as a method to cheat the government. In a new report issued by the Office […]

Keeping On Track with the OIG

June 19th, 2013 / By Camille Cohen

Once again, the Office of Inspector General (OIG) for the Department of Health and Human Services (HHS) has kept true to its work plan. In May, they issued their Semiannual […]

Testing for Waste and Mismanagement in the Medicare Program

March 18th, 2013 / By Camille Cohen

In its role to protect the integrity of the Department of Health and Human Services (HHS) and the welfare of program beneficiaries, the Office of Inspector General (OIG) aims to […]