Christi Grimm, the Inspector General of HHS, gave a recent keynote address to compliance professionals. In it, she said, “Simply put, the financial incentives created by risk adjustment may be driving upcoding in the severity of diagnoses to garner additional payments.”
Continue readingCritical Care Services Under the Microscope
Complex and billed at a higher rate, OIG added physicians billing for critical care evaluation and management services to the work plan.
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