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Pediatric Coding Alert

Compliance:

OIG to Scrutinize Pediatric Antipsychotic Prescriptions in 2013

Published on Mon Oct 29, 2012

Plus: Medicaid audits will determine whether special need school services were medically necessary.The HHS Office of Inspector General (OIG) has some big plans next year for reviewing your claims, and they span the whole spectrum of issues, according to the OIG's 2013 Work Plan, released on Oct. 2. Get to know these hot buttons before you press them. Background: The OIG releases a Work Plan every year to alert the medical community of the issues that it will be scrutinizing in the coming year. Although most of the topics are related to Medicare, the Work Plan also covers Medicaid issues, including the following potential big topics, among others:Antipsychotic pediatric medications: The OIG will be investigating the extent to which children ages 18 and younger had Medicaid claims for atypical antipsychotic drugs during the selected timeframe. The OIG will review records to determine whether the antipsychotic drug claims were for off-label [...]
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