decisionhealth Newsletters, Coder Pink Sheets - 2014 Issue 2 (February)
2014 OIG Work Plan: Expect more audits of your E/M services, place-of-service coding
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Article Overview
This article reviews key themes from the HHS Office of Inspector General’s 2014 Work Plan that are relevant to physician practices and other Medicare stakeholders. It focuses on audit and oversight priorities involving evaluation and management documentation, place-of-service coding, therapy services, chiropractors, portable X-ray suppliers, and compounded drugs. The piece is useful for compliance staff, coders, auditors, and practice managers who want to understand where federal scrutiny is expected and how to align internal review efforts with current oversight priorities.
Why This Topic Matters
It helps practices and billing teams identify compliance areas likely to receive increased audit attention and to prioritize internal monitoring and education.
What You Will Learn
- Which broad billing and documentation areas are emphasized in the 2014 OIG Work Plan
- How the Work Plan is used by providers and CMS stakeholders for compliance awareness
- Which provider and supplier categories are slated for additional OIG review
- What general compliance themes are associated with the Work Plan’s oversight focus
Who Should Read This
- Physician practices
- Medical coders
- Compliance officers
- Internal auditors
- Practice managers
- Billing staff
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