Wednesday, March 08, 2006
A $75 million Medicare loss?
Found tonight on ResourceShelf Docuticker...Allergen Immunotherapy for Medicare Beneficiaries: “Allergen Immunotherapy--MedicareSource: U.S. Department of Health and Human Services, Office of Inspector GeneralAllergen Immunotherapy for Medicare Beneficiaries (PDF; 656 KB)”OIG found that approximately 62 percent of allergen immunotherapy and related services allowed by Medicare in 2001 were not medically necessary (and, therefore, not covered by Medicare), were miscoded, and/or were undocumented. These inappropriately paid services potentially cost the program and its beneficiaries approximately $75 million. Furthermore, approximately 70 percent of Medicare beneficiaries who received allergen immunotherapy in 2001 received care that did not meet professionally recognized standards at some point during their course of treatment.“
Posted by John Cutter at 10:25 PM