Home health insurer owes gov't for billing gaffe
Case Management Weekly, April 7, 2004
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Home healthcare providers often receive reimbursement at unnecessarily high service levels, according to an Office of Inspector General (OIG) audit of fiscal intermediary United Government Services. Home health agencies like United Government match the level of service a beneficiary requires to the appropriate reimbursement amount. To do this, they use an outcome and assessment information set, or OASIS codes. On top of dragging the agencies under its jurisdiction into the audit-mess, United Government owes the OIG $55,762 for its lapse in home health billing. Your fiscal intermediary could be making the same mistake that United Government made, and it could cost you in the long run.
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