Other Issuances: CMS issues RAC FAQ, OIG audits geographic classifications, and more
Medicare Weekly Update, November 24, 2009
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OIG reviews oxaliplatin billing
On November 13, the OIG posted a report on oxaliplatin billing at Swedish Medical Center – First Hill for CYs 2004 and 2005. The OIG determined that First Hill billed Medicare for an incorrect number of service units for the 12 oxaliplatin outpatient claims reviewed and received overpayments totaling approximately $311,000.
OIG issues DSH-related reviews
The OIG released two reviews of the use of incorrect geographic classifications by contractors when calculating Medicare operating disproportionate share hospital (DSH) adjustments. This resulted in overpayments to at least two hospitals.
View the OIG report on the geographic classification of Marion General Hospital.
View the OIG report on the geographic classification of Thomasville Medical Center.
CMS issues RAC FAQ
Will CMS require RACs to post all HCPCS/CPT Codes included in their audit that are posted on their Web sites?
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