Archive for The Day of May 22nd, 2006

Archive for the Day of May 22nd, 2006

Welcome to the medical billing blog archive for the day of May 22nd, 2006.

Here you will find links to every article added to the Outsource Management Group web site during May 22nd, 2006.

You can browse this day's archives by clicking the "More" button from any of the excerpts below.

Modifier v57.1 to Get Close Examination

If you use V57.1 (Other Physical Therapy) in your medical billing claims, be prepared for some close scrutiny of all your submitted medical billing claims. These claims in particular will be closely monitored to ensure that they were medically necessary services actually done by the physician. This review will be taking place in Iowa and other states are slated to follow suit in the coming months. Currently, the review will affect Part B Medicare patients only who are part of the outpatient home healthcare program. The reviewers will select home health outpatient claims with type of bill 34X, revenue code 042X and V57.1 as primary. With the close examinations of

Make Sure Your DME Deal Doesn’t Look Like a Kickback

Based on a recent deal in which a supplier of DME products would provide equipment to a physician in exchange for a prime space and fees, would directly violate the federal anti-kickback statute, according to the HHS Office of Inspector General latest advisory. The basis of this decision was based on the situation where the agreement would have allowed the physician to become a DME supplier for non-Medicare patients, and the DME supplier would have rented space in the physician’s office to supply DME directly to the physician’s Medicare patients. The reason that this arrangement raised eyebrows is because the in-house DME supply programs either together or individually, pose a

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