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Pediatric Coding Alert


OIG to Focus on Medicaid Overpayments, CCI Effectiveness in 2012

Watch out: Medicaid claims may face greater scrutiny in the coming year.Are you hanging on to a Medicaid overpayment and maintaining it as a credit balance? The OIG may want to chat with you in 2012.The HHS Office of Inspector General (OIG) has some big plans next year for reviewing your Medicaid claims, and they span the whole spectrum of issues, according to the OIG's 2012 Work Plan, released on Oct. 5. Get to know these hot buttons before you press them with the following information on where the OIG will be focusing its efforts next year.Calculate Those OverpaymentsWhen you receive an overpayment from Medicaid, you are expected to send it back--the amount of time you can spend before you refund the money varies from state to state, but if you are aware of an overpayment, you must pay it back. And the OIG is looking for practices that haven't [...]

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