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.