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OIG Publishes Study on Questionable Billing of MedicarePart B Clinical Laboratory Services
Date: July 9, 2014
CLICK HERE TO READ THE REPORT.
In 2010, Medicare payments for all (not just toxicology) Part B lab services totaled $8.2 billion. OIG conducted a study of Part B lab services to identify questionable billing patterns among Medicare lab services. This report presents its findings, which, in part, show: In 2010, over 1,000 labs exceeded the thresholds (i.e., had unusually high billing) for 5 or more measures of questionable billing for Medicare lab services. For example, a lab might have an unusually high percentage of claims with ineligible and/or in valid ordering-physician numbers, or an unusually high allowed amount per ordering
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