Inside Angle

From 3M Health Information Systems

Tag: OIG

Blog Post

Red Flag: OIG chart reviews of Medicare Advantage records raise concerns. Billions misspent?

February 14, 2020 / By Barbara Aubry, RN

Audits of Hierarchical Condition Categories (HCCs) have been performed for years as a way for Part C vendors (Medicare Advantage Organizations) to identify and support patients with complex needs. Higher […]

Blog Post

Eyes on Eylea and Lucentis

August 9, 2019 / By Divya Verma, RHIA

Recently, I came across an OIG announcement “Review of Medicare Part B Claims for Intravitreal Injections of Eylea and Lucentis” released in June 2019. Upon reading this announcement, I pulled […]

Blog Post

The importance of medical necessity compliance: Recent actions by the U.S. Attorney’s Office and the OIG

July 16, 2018 / By Barbara Aubry, RN

I’ve been talking about this for years. I still see folks who don’t think compliance with medical necessity polices is critical. Believe me, I understand human nature; noncompliance can be […]

Blog Post

Caution ahead: Coding of right heart caths (RHC) with a biopsy

May 2, 2018 / By Rebecca Caux-Harry

At AAPC’s annual Healthcon conference in Orlando, Florida, Dr. David Zielske (also known as Dr. Z) had a session on Interventional Radiology, Cardiology and Vascular Surgery coding. As you can […]

Blog Post

Fallout from the opioid crisis or improper coding?

March 7, 2018 / By Barbara Aubry, RN

I review OIG updates as they are released and I saw something last week that unfortunately, I did not find surprising. Per the OIG report: “Payments made to providers for […]

Knowledge Lab Post

Article: Coders Beware: CMS Surgical Audits Began July 1

With Barbara Aubry, RN

3M’s Barbara Aubry urges coders to provide adequate clinical documentation to support CPT code 99024.