FCA Alert : Lawyers & Attorneys for Whistleblower, False Claims Act & Qui Tam Defense : Kelley Drye & Warren LLP

In a July 28, 2010 report, the Department of Human Services, Office of Inspector General (OIG) estimated that incorrect place-of-service coding on claims for physician services under the Medicare Part B program has resulted in millions of dollars in overpayments to providers nationwide. The report, titled “Review of Place-of-Service Coding for Physician Services Processed by Medicare Part B Carriers During Calendar Year 2007,” recommended that the Centers for Medicare & Medicaid Services (CMS) instruct its contractors to reopen the claims identified during the audit, recover overpayments from providers, and to take other steps to prevent incorrect place-of-service coding.

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On June 29, 2010, the Department of Human Services, Office of Inspector General (OIG) published a report titled, “Review of Inpatient Rehabilitation Facilities’ Compliance with Medicare’s Transfer Regulation During Fiscal Years 2004 Through 2007,” which describes an audit of claims submitted to Medicare by Inpatient Rehabilitation Facilities (IRFs). The OIG’s audit found millions of dollars of overpayments. 

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