decisionhealth Newsletters, Part B News - 2016 Issue 12 (December)
2017 OIG Work Plan adds E/M, financial relationships to the watch list
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Article Overview
This article summarizes new and continuing HHS Office of Inspector General Work Plan priorities that may affect physicians and non-physician providers billing Medicare Part B. It highlights broad compliance areas involving care management services, physician financial relationships, clinical laboratory payments, and several topics that remain on the agency’s watch list. The piece is useful for compliance staff, medical practices, and coding/billing professionals tracking likely audit and oversight focus areas.
Why This Topic Matters
The Work Plan signals where federal oversight is likely to concentrate, helping providers and billing teams identify services and payment areas that may receive increased scrutiny. Understanding these priorities supports compliance monitoring and preparation for Medicare review activity.
Article Sections
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Compliance
Introduces the Work Plan items most likely to affect Medicare Part B providers and frames the article’s compliance focus. It also sets up the discussion of care management services and other oversight areas.
What You Will Learn
- Which broad Medicare Part B service areas are highlighted in the 2017 OIG Work Plan
- How the article frames compliance attention around care management and related services
- What general oversight themes are tied to physician financial relationships and laboratory payments
- Which previously listed Work Plan topics remain under review
Who Should Read This
- Physicians
- Non-physician practitioners
- Medical practice compliance staff
- Medical coders
- Medical billers
- Revenue cycle professionals
Codes Discussed
Code Ranges Discussed
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