Corporate Compliance

Other Issuances: CMS issues decision memo on PTA, OIG reviews high-dollar payments

Medicare Insider, October 21, 2008

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OIG issues review of high-dollar payments for inpatient and outpatient claims processed by Riverbend Government Benefits Administrator for calendar years (CY) 2004 and 2005

On October 16, the OIG issued a report on high-dollar payments for inpatient and outpatient claims processed by Riverbend Government Benefits Administrator, a Medicare fiscal intermediary, for CYs 2004 and 2005. The OIG recommended that Riverbend recover overpayments totaling $4.9 million for 49 inpatient high-dollar claims and 51 outpatient high-dollar claims.

View the OIG report.

CMS issues final decision memo for percutaneous transluminal angioplasty (PTA) of the carotid artery concurrent with stenting

On October 14, CMS issued a final decision memo in which it made no changes to the national coverage determination for PTA of the carotid artery concurrent with stenting.

View the final decision memo.



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