OIG needs ordering provider identifiers in the Medicare Advantage (MA) encounter data to be available so it can use the data to identify and prevent potential fraud, waste and abuse. However, although OIG recommends, CMS doesn’t currently require MA organizations (MAOs) to submit National Provider Identifiers (NPIs) for ordering providers. In previous studies, OIG found…
OIG Work Plan: Agency to Focus on Collection of Medicare Advantage Ordering Provider Identifiers
