decisionhealth Newsletters, Coder Pink Sheets - 2014 Issue 2 (February)
2014 OIG Work Plan: Expect more audits of your E/M services, therapy and place-of-service coding
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Article Overview
This article reviews the 2014 HHS Office of Inspector General Work Plan and highlights the audit areas most relevant to physician practices and related suppliers. It focuses on documentation, place-of-service coding, therapy billing oversight, and additional review areas involving chiropractors, compounded drugs, and portable X-ray services. The piece is useful for compliance staff, billing teams, and providers who want a high-level view of the year’s audit priorities and the kinds of operational issues under review.
Why This Topic Matters
The Work Plan signals where federal auditors are directing attention, helping organizations prioritize internal compliance reviews and education. Understanding these focus areas can support better documentation, billing accuracy, and readiness for external review.
Article Sections
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OIG Work Plan overview
Introduces the 2014 Work Plan and explains how it is used by providers, contractors, and CMS officials to understand review priorities for the year.
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Therapy services and utilization review
Discusses oversight of outpatient physical therapy services, common denial patterns, and the broader compliance focus on therapy billing and documentation.
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Additional audit areas
Summarizes other review topics named in the Work Plan, including chiropractic services, compounded drugs, and portable X-ray suppliers.
What You Will Learn
- Which broad compliance areas were emphasized in the 2014 Work Plan
- Why therapy documentation and medical necessity were highlighted
- What other provider and supplier groups were added to OIG review priorities
- How the Work Plan can inform internal audits and education efforts
Who Should Read This
- Physician practices
- Medical billing and coding staff
- Compliance officers
- Therapy providers
- Chiropractic practices
- Suppliers and vendors
- Healthcare administrators
Codes Discussed
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