Avoid these common mistakes so you won't have to refund your MAC. If you're billing an incorrect number of drug units on your claims, you could be collecting thousands more than you deserve--and you need to pay it back. That's the word from the OIG, whose latest report was released on April 22. The report, entitled "Review of Medicare Payments Exceeding Charges for Outpatient Services Processed by Noridian Administrative Services, LLC, in Jurisdiction 2 for the Period Jan. 1, 2006 through June 30, 2009," shed some light on common mistakes that Part B practices make, resulting in millions in repayments to Medicare. The method:
The outcome:
Only 359 of the 1,340 line items were paid correctly, the OIG found, meaning that the MAC paid 69 percent of these claims in error. By the time the OIG began researching the claims, providers had already refunded overpayments on 51 of the line items, leaving 930 remaining line items which amounted to overpayments totaling $6.2 million that remained in providers' hands.Get to Know the Biggest Errors
Among the 930 incorrect line items that the OIG reviewed were the following errors, the report indicates:
To read the complete OIG report, visit http://oig.hhs.gov/oas/reports/region9/91002019.pdf.