tci Part B Insider - 2014 Issue 16

Face-to-face Visits: OIG: One-Third of F2F Claims Don't Pass Muster

Avoid these common F2F pitfalls identified by the watchdog agency. Physicians’ face-to-face narratives are coming in with a variety of flaws, the OIG finds in a new report — and that’s bad news for reimbursement. In the 2011-to-2012 timeframe that the OIG studied for its new report, CMS and its contractors did very little review of F2F, the watchdog agency notes. But now the bad habits that physicians developed in the first few years of F2F are coming back to bite agencies. For the report, the OIG took a 680-claim sample from the 7.8 million claims in...

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