Answer_Book / Ultrasound_Diagnostic_Procedures / OIG_targets_ultrasound_services

Why This Topic Matters

Ultrasound claims may be reviewed more closely when utilization is high or documentation is incomplete, so understanding the compliance themes in this article can help practices assess claim risk and audit readiness.

Article Sections

1. OIG targets ultrasound services

   Introduces the OIG Medicare Part B review of ultrasound billing and the broader compliance concerns associated with these services.

2. Billing and documentation considerations

   Summarizes general ultrasound claim documentation themes, including the need for support in the medical record and awareness of supervision requirements.

3. Questionable characteristics identified by the OIG

   Lists the broad types of claim patterns the OIG associated with heightened scrutiny in its ultrasound review.

4. High-utilization counties identified by the OIG

   Describes the geographic areas the OIG highlighted as having unusually high ultrasound service utilization.