The Centers for Medicare & Medicaid Services (CMS) recently issued Transmittal 574 and alerted various Medicare contractors (including Part A/B Medicare Administrative Contractors) about 4 Department of Health and Human Services' Office of Inspector General reports (OIG Reports).
Among other things, Transmittal 574 instructs certain Medicare contractors to "review the claims data particularly for services mentioned in the OIG reports" and "take appropriate action consistent with their individual prioritized strategy (e.g., establish automated prepayment edits, develop pre and postpayment reviews, educate physicians/suppliers), if the data warrants any action."
Transmittal 574 has an effective/implementation date of November 9, 2009.
The OIG Reports identified in Transmittal 574 are set forth below.
- Medicare Part B Chemotherapy Administration: Payment and Policy (OEI-09-08-00190)
- Prevalence and Qualifications of Nonphysicians Who Performed Medicare Physician Services (OEI-09-06-00430)
- Inappropriate Medicare Payments for Chiropractic Services (OEI-07-07-00390)
- Medicare Part B Billing for Ultrasound (OEI-01-08-000100)
Subscribe to Medicare Update, follow me on Twitter @MedicareUpdate, and become a fan on Facebook.
