Corporate Compliance

Pay-per-view: Take ’medically unnecessary’ out of your facility’s vocabulary

Healthcare Auditing Weekly, June 5, 2007

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.

To find out more, order the pay-per-view article Take 'medically unnecessary' out of your facility's vocabulary. The cost is $10. Subscribers to the online version of Healthcare Auditing Strategies have free access to this article. Subscribers to the print edition can find it in their most recent issue. A $30 steal!

You can read this article and much more in Healthcare Auditing Strategies, a monthly newsletter that offers news items, tips, and advice for healthcare audit and compliance professionals. 

    Strategies for Health Care Compliance
  • 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

Related Articles