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.Related Products
Most Popular
- Articles
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Catch up on what's new with injections and infusions
- Identify potential Medicaid RAC target areas
- HIPAA Q&A: Level of encryption needed for email
- Topic: CMS, OESS post new security compliance review information, checklist
- Capturing all necessary codes for IUD insertion and removal can be challenging
- What does case-mix index mean to you?
- OB services: Coding inside and outside of the package
- QA:Coding multiple initial infusions
- E-mailed
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- HIPAA Q&A: Level of encryption needed for email
- Q&A: Follow CMS' coding guidelines when using modifier -25
- What does case-mix index mean to you?
- Catch up on what's new with injections and infusions
- CMS has reformulated payments for some bilateral procedures
- New conflicts of interest create new challenges
- Q/A. One injection code or two?
- ED-to-inpatient transfers are flawed with safety gaps
- Searched
