OIG: Physician received $230,000 in Medicare overpayments
Healthcare Auditing Weekly, October 9, 2006
A New Jersey urologist improperly claimed more than $230,000 in Medicare costs, according to a new OIG audit.
Of the 100 claims taken from the physician, Saad Antoun of Holmdel, NJ, 90 claims for 185 services did not qualify for Medicare reimbursement.
The OIG recommended Antoun work with the New Jersey carrier to reimburse the Medicare program for the inappropriately claimed costs. The OIG also said to establish effective controls to ensure that only services that are sufficiently documented and correctly coded are billed to Medicare.
Antoun said he disagrees with OIG's review results for 84 of the 90 claims indentified as overpayments in the audit, but agreed with the remaining six claims.
Click here to read the full audit.
Related Products
-
Strategies for Health Care Compliance
News and real-life examples to increase the effectiveness of your compliance program. Strategies for Health Care Compliance...
-
Compliance Monitor
This HTML e-mail newsletter delivers news on Medicare and Medicaid fraud and abuse, as well as recent documents and targets...
-
Medicare Weekly Update
Each issue of Medicare Weekly Update includes the latest CMS proposed and final rules, CMS manual revisions, and...
-
Medicare Update for Physician Services
Medicare Update for Physician Services is a free, monthly e-zine that delivers news and information to help physician...
Most Popular
- Articles
-
- HIPAA Q&A: Flu shot requirement for hospital employees
- Running an effective peer review committee meeting
- HealthDataInsights posts new issues for medical necessity claims
- Sneak Peek: Effort underway to establish caseload benchmarks
- Q/A: Coding for telescopic intraocular lens
- New FAQ posted on storing laryngoscope blades
- Tip: Perform your own internal investigation prior to government audit
- HIPAA 5010 deadline extended, but threat remains, says AMA
- HHS task force: Consider privacy, security with text messages
- What does case-mix index mean to you?
- E-mailed
-
- Running an effective peer review committee meeting
- HIPAA Q&A: Flu shot requirement for hospital employees
- HHS task force: Consider privacy, security with text messages
- What does case-mix index mean to you?
- Q/A: Coding for telescopic intraocular lens
- Q/A: Correct use of modifier -PT
- Tip: Correctly code bilateral pain management procedures
- "Wall fountains" may be spreading Legionnaires to patients, visitors
- 2012 CPT code changes for ASCs: Shoulder and knee scopes and pain management
- COT basics to best
- Searched