Take 'medically unnecessary' out of your facility's vocabulary
Health Care Auditing Strategies, June 1, 2007
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Medical necessity is an area the OIG first addressed in the early 1990s, and it has yet to drop off of the agency's list of topics to watch.
"The OIG has taken a pretty aggressive position on this," said Dennis Diaz, a partner at Davis Wright Tremaine, LLP, in Los Angeles. Diaz, along with Jim Passey, a compliance officer at Huntington Memorial Hospital in Pasadena, CA, spoke about medical necessity during April's Health Care Compliance Association's Compliance Institute in Chicago. "The OIG . . . has essentially said a lack of medical necessity is a real concern for them," said Diaz.
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