Becker's ASC Review

Becker's ASC Review June 2015

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9 13th Annual Spine, Orthopedic and Pain Management-Driven ASC Conference + The Future of Spine – Call (800) 417-2035 T he Office of the Inspector General has re- leased the Incorrect place-of-service claims resulted in potential Medicare overpay- ments costing millions report. Here are five quick facts to know. 1. The report includes information about claims covering services provided from January 2010 to September 2012. 2. During those years, Medicare contractors made $33.4 million in overpayments, due to physi- cians not correctly coding the place of service on physician claims. 3. The $33.4 million in overpayments for incor- rectly coded services included: • $18.2 million in potential overpayments for services of unselected hospital outpatient location-based claims • $7.3 million in potential overpayments for ser- vices performed in ambulatory surgery centers • $7.1 million in potential overpayments for services performed in hospital outpatient locations • $800,000 in potential overpayments for ser- vices of 33 selected physician who claim they were not responsible for the incorrect billing 4. A previous OIG report covering calendar years 2005 through 2009 found $62.7 million in overpayments for physician services. 5. The potential overpayments uncovered in the 2015 report are attributed to internal physi- cian billing control weaknesses and insufficient post-payment reviews at the Medicare contrac- tor level. n 10 Specialties With Highest Number of Physicians Suffering Financial Losses By Anuja Vaidya H ere are 10 specialties that recently suffered financial losses due to practice issues, according to Medscape's Physician Debt and Net Worth Report 2015. • Urology — 21 percent • Allergy & immunology — 18 percent • Plastic surgery — 18 percent • Orthopedics — 17 percent • Ophthalmology — 17 percent • Radiology — 15 percent • OB/GYN & Women's health — 14 percent • Neurology — 14 percent • Gastroenterology — 14 percent • Cardiology — 13 percent n OIG: Incorrect Coding on Physician Claims Leads to $33.4M in Medicare Overpayments: 5 Quick Facts By Carrie Pallardy SAVE THE DATE October 22 - 24, 2015 • Swissôtel - Chicago, Illinois learn more & register at https://www.regonline.com/22ndAnnualASC Becker's ASC 22nd Annual Meeting The Business and Operations of ASCs For more information, call 425-657-0494 or visit our website at www.eveia.com Eveia's Clients: · Ambulatory Surgery Centers · Surgical Hospitals · Health Systems with ASC Relationships · Physician Practices · Anesthesiologists ASC Operations Compliance & Consulting Services Preparing for excellence Provider Business Services Optimizing opportunity Provider Contracting Services Reimbursement experts

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