Provider Compliance Group National Outreach

Centers for Medicare & Medicaid Services
Listening Session Series:
March 22-24, 2011

The Centers for Medicare & Medicare Services (CMS) would like to announce three national outreach listening sessions, called the Provider Compliance Group (PCG) Outreach Calls that will focus on several Office of the Inspector General (OIG) released reports. Also, there will be an Outreach and Education session for Chiropractic Care. The purpose of the calls is to educate providers and suppliers on specific vulnerabilities that exist in Durable Medical Equipment (DME), Part A, Part B, and Home Health and Hospice settings related to the reports. These reports can be found on the OIG website at http://oig.hhs.gov/reports.asp .


CMS Contractor, Medical Directors, will identify common topics and themes along with identified billing errors seen to educate on ways provider and supplier behaviors can be changed to ensure full compliance with Medicare policy, billing instructions and medical review guidance. 

Based on your understanding of the OIG reports, the PCG Outreach Calls and your real life experience, questions and suggestions of policy, procedure, or practice improvements to prevent improper payments are welcomed. Submit questions and suggestions to the email boxes listed after each call day schedule. 

Questions should be submitted to the designated emails below and CMS will provide answers after the series of calls via email. No questions will be taken on the call as these calls are listening sessions. The calls will be broadcasted over the internet with a specific web-link for each call is listed below. See below for the schedule of calls and OIG and Audit reports to be discussed.

A notice regarding how to access the rebroadcast of the calls will soon follow.


Day One - Tuesday, March 22, 2011, 1:00pm to 4:00pm ET

Audience Web-Link: http://webcast.acrobat.com/r.htm?e=296561&s=1&k=BE936C7435C1F82BEB7DE8A67A75DDC8;

Email questions: PCGOUTREACHCALLS.DAYONE@CMS.HHS.GOV;

1.    OEI-05-09-00030 - Inappropriate Medicare Payments for Transforaminal Epidural Injections Services;

2.    OEI-06-06-00580 - Medicare Part B Services During a Non-Part A Nursing Home Stays: Mental Health;

3.    OEI-06-07-00090 - Medicare Part B Services during Non-Part A Nursing Home Stays: Enteral Nutrition Therapy;

4.    A-01-09-00503 - Review of Point Of Service (POS) Coding for Physician Services Processed by Part B Carriers During Calendar Year 2007.


Day Two - Wednesday, March 23, 2011, 1:00pm to 4:00pm ET

Audience Web-Link: http://webcast.acrobat.com/r.htm?e=296567&s=1&k=686C277EEA298133D4767DB9D4A3B708;

Email: PCGOUTREACHCALLS.DAYTWO@CMS.HHS.GOV;

1.    A-01-04-00513 - Medicare Part B Payments for Ambulance Services Rendered to Beneficiaries During Inpatient Stays: 2001 Through 2003;

2.    A-04-09-00059 - Review of Inpatient Rehabilitation Facilities (IRF) Compliance with Medicare Transfer Regulation During Fiscal Year 2004 through 2007;

3.    A-01-09-00504 - Part A ER Department Adjust Nationwide Review of Medicare Part A Emergency Dept Adjustments for Inpatient Psychiatric Facilities During CY 2006 and 2007;

4.    A-01-09-00507 - Nationwide Review of IRF Transmission of Patients’ Assessment Instruments for CY 2006 and 2007.


Day Three - Thursday, March 24, 2011, 1:00pm to 4:00pm ET

Audience Web-Link: http://webcast.acrobat.com/r.htm?e=296629&s=1&k=39F8A595DB5092CD6641D3C0942CB138;


Email: PCGOUTREACHCALLS.DAYTHREE@CMS.HHS.GOV;

1.    OEI-07-08-00550 - A Review of Claims for Capped Rental Durable Medical Equipment;

2.    OEI-02-06-00224 - Questionable Billing for Physicians Services for Hospice Beneficiaries;

3.    OEI-04-09-00540 - Questionable Billing for Medicare Outpatient Therapy Services

4.    Chiropractor Outreach and Education.


Dallas L Alford IV, CPA is a licensed Certified Public Accountant in the state of North Carolina and owner of Atlantic Financial Consulting, a consulting firm that provides comprehensive medical billing services, practice management consulting, coding audits, Medicare compliance, Medicare RAC support and other general medical practice consulting services.
To learn more about Atlantic Financial Consulting you may visit their website at http://atlanticfinancial.us or contact Dallas L Alford IV, CPA directly at 1 888-428-2555, Ext. 200.