DecisionHealth, DecisionHealth - 2019 Issue 5 (May)

Go for accuracy, consistency as OIG audit pinpoints diagnosis coding errors

Exert extra attention on your diagnosis coding, particularly under Medicare Advantage (MA) models, or you may be at risk of running afoul of CMS regulations — and your payers’ good will. A May 2 report from the OIG found that some physician practices were at the root of basic coding errors that were causing federal overpayments.

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