Oncology & Hematology Coding Alert

Compliance:

Practices Collected Over $8 Million in Part B Pay for DOS After Patients Died

Don't let date format confusion lead to refund requests.Part B practices should always be sure to record the correct date of service on their Medicare claims -- and one easy way for the OIG to track whether you followed this rule or not is to investigate the date the patient passed away.In many cases, practices are still charging for services long after their patients died, and it's costing the Medicare system millions. On Sept. 23, the OIG released the results of its audit, "Review of Medicare Parts A and B Services Billed With Dates of Service After Beneficiaries' Deaths," which revealed that CMS paid approximately $8.2 million in benefits for claims with dates of service after the beneficiaries' deaths.The OIG noted that Medicare will only pay for expenses "reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member ... [...]
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