OIG and CMS Revving up Scrutiny of Ultrasound Imaging - Are You on the Hit list?

Event Information
Product Format
Prerecorded Event
Presenter(s)
Cheryl A. Schad, BA Ed, CPC, ACS-RA, PCS
Conference Date
Tue, Oct 27, 2009
Length
60 Minutes
Product Description

July 2009 - The OIG has not only recommended that CMS investigate suspect ultrasound services and claims but also to revoke providers billing numbers for fraudulent ultrasound claims… CMS agrees…

The OIG has determined that there have been inappropriate claims for ultrasound studies. Now, CMS is taking a long, hard look at ultrasound claims. You need to know what they're looking for before you inadvertently end up in their sights. Join nationally recognized Radiology Reimbursement Specialist, Cheryl A. Schad, BA Ed, CPC, ACS-RA, for this 1-hour look into the OIG's findings. Cheryl will walk you through some of the items that could trigger and audit or target your practice. She will provide you with the information you need to keep your ultrasound claims squeaky clean.

Here's what you will learn:

  • Get the inside story on patterns that are related to high utilization of ultrasound devices.
  • Find out what makes ultrasound utilization "stand-out" according to the OIG.
  • 5 characteristics that could make your ultrasound claims questionable.
  • What are the OIG's recommendations to CMS from audit findings and how do they impact your services.
  • Specific ultrasound studies that are NOW under audit scrutiny by CMS.
  • What entities will be affected - Hospitals? Imaging Centers? Private practices? More?
  • What's on the OIG's horizon for 2010?

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About Our Speaker

Cheryl A. Schad - Radiology Coding Expert

Cheryl A. Schad, BA Ed, CPC, ACS-RA, PCS, is a nationally-recognized Reimbursement Specialist and owner of Schad Medical Management, a physician reimbursement/compliance consulting firm that focuses on CPT and ICD-9 coding and Medicare Part B regulations.

Schad's personal area of expertise is diagnostic and interventional radiology. She has performed numerous workshops, seminars, and audio conferences for organizations including The Coding Institute, The American Academy of Professional Coders (AAPC)...   More Info
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