OIG Facet Denervation Payment Audit

The Department of Health and Human Services (HHS) Office of Inspector General (OIG) audit report recommends that Medicare Administrative Contractors (MACs) be directed to recover over $9 million that it considers inappropriate payments. According to the OIG, these improper payments occurred because the Centers for Medicare & Medicaid Services' (CMS) oversight was not adequate to prevent payments for sessions exceeding the annual coverage limits.

MACs will be reaching out to physicians to request that they identify, report, and return any overpayments in accordance with the 60-day rule.

IPSIS will continue to monitor this issue and keep you apprised as information is released.

Help sustain these vital advocacy alerts with your donations. The International Pain and Spine Intervention Society (IPSIS) is a tax exempt organization under US section 501(c)(3) of the Internal Revenue Code. As such, contributions are deductible to the extent allowed by law.