Palmetto GBA to Begin Service-Specific Medical Review Audits

Palmetto GBA announced earlier this week that they will begin performing service-specific medical review audits for oncology and ophthalmology specialties. The medical reviews will focus on the following:

 Outpatient Oncology Radiation Therapy Procedure Codes

Outpatient Ophthalmology Procedure Codes

Outpatient Hematology/Oncology Other Drugs Procedure Codes

The North Carolina Medical Society (NCMS) will continue to follow and provide updates regarding the medical reviews. The NCMS Fraud and Abuse webpage is also a helpful tool for those physicians involved in the audit or for those who would like to learn more.


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