Guest guest Posted November 28, 1999 Report Share Posted November 28, 1999 Jon; Start with your local Medicare Intermediary. Usually, before a case gets turned over to the OIG, the Medicare Intermediary does a preliminary audit of their own. In order for any case to be turned over, the Medicare Intermediary has to prove that it's financial scope exceeds $10,000. So start with your provider representative at your local Medicare Intermediary and they will take it from there. Jim Hall, CPA <///>< General Manager Rehab Management Services, LLC Cedar Rapids, IA Formerly employed at a Medicare Intermediary's office Visit our Web Page at: http://memebers.aol.com/jhall49629 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 29, 1999 Report Share Posted November 29, 1999 Jon: It's always good to involve your Congressman in problems that affect his district. Inquiries to HCFA from Congressional offices are handled with much more dispatch! Even if you have managed " to get through " the 800 number, it is smart to let your Congressman know what is happening. Good luck! Lucy Buckley PT Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 29, 1999 Report Share Posted November 29, 1999 Jon -- If your local competitor is using Revenue Code 420 (Physical Therapy), they're holding their services out as physical therapy. If they require a PT referral from the doc... same, same. If they're using a HCFA 1500 bill, and charging as PT... same same. If they're using CPT Codes for a procedure which requires the physician or therapist... If they're in violation, and you SUE them as a " qui tam " (whistlebolwer) suit, and the Feds join in the suit, ... YOU get ~15-30% of what the Feds get... Just a mid-day quickie! Dick Hillyer, PT Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 29, 1999 Report Share Posted November 29, 1999 Have you tried the OIG's website? Quote Link to comment Share on other sites More sharing options...
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