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Part B payments susceptible to fraud

LTC Liability Monitor, February 12, 2007

Previous studies by the Office of Inspector General (OIG) have determined that Medicare Part B payments for nursing home residents are particularly vulnerable to fraud and abuse, according to an OIG press release.  To protect the integrity of these Medicare payments, Congress required OIG to monitor potentially excessive or duplicative billing of Medicare Part B services for nursing home residents not in a Part A covered stay. The OIG plans to assess more current data to help identify potential patterns and areas of questionable billing, read the release.

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