The Claim Was Paid, But Was the Drug Code Correct? What OIG’s Latest Findings Mean for Hospital Revenue Integrity

A medication is ordered, administered, documented, charged, and billed. The claim processes, payment arrives, and the account moves forward. From a revenue-cycle perspective, that may look like a completed transaction. But who confirmed that the drug represented on the final claim was the drug the patient received? That is the question I would bring to […]