Corporate Compliance

Other Issuances: CMS updates frequently asked questions, issues decision memo; OIG issues reports

Medicare Insider, December 16, 2008

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Frequently asked questions

On December 12, CMS issued 125 new/updated frequently asked questions related to Medicare fee-for-service payment, coding, and billing.

View the fee-for-service-related frequently asked questions.

View the coding-related frequently asked questions.

View the billing-related frequently asked questions.

OIG issues report on high-dollar outpatient claims processed by Cahaba Government Benefit Administrators for the period January 1, 2004, through December 31, 2006

On December 11, the OIG issued a report on high-dollar outpatient claims processed by Cahaba Government Benefit Administrators, a fiscal intermediary, for the period January 1, 2004, through December 31, 2006. The OIG found that Cahaba overpaid hospitals in Iowa $121,000 during this period.

View the OIG report.

CMS posts decision memo for Heartsbreath test for heart transplant rejection

On December 8, CMS posted a decision memo in which it concluded that the Heartsbreath test is not covered by Medicare.

View the decision memo.

OIG issues report on high-dollar payments for Medicare outpatient claims processed by TriSpan Health Services for the period January 1 through December 31, 2004

On December 8, the OIG issued a report on high-dollar payments for Medicare outpatient claims processed by TriSpan Health Services, a fiscal intermediary, for the period January 1 through December 31, 2004. The OIG found that TriSpan overpaid providers $203,000 during this period for high-dollar outpatient claims.

View the OIG report.



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