In July, Utah pain doctor Jahan Imani, MD, and Intermountain Medical Management, P.C., entered into a nearly $400,000 settlement with the OIG to resolve allegations that Imani’s practice submitted false or fraudulent claims due to improper modifier use for payment by improperly using modifier -59 with HCPCS code G0431.
Length of stay (LOS) management requires ongoing attention from the director/manager of case management to stay on budget. Directors who divert their attention, even for a few weeks, might find themselves spending too much. To avoid this situation, consider implementing the six best practices for LOS maintenance.