Compliance: Add viscosupplement injections to your audit list to avoid scrutiny

Why This Topic Matters

The article highlights a service area receiving closer payer review, where documentation, utilization patterns, and related ancillary services may affect compliance risk. It helps readers understand the broader audit environment and the kinds of internal review that may be warranted.

Article Sections

1. Medicare attention to hyaluronic acid injections

   Introduces the service area drawing Medicare scrutiny and summarizes the payer and utilization concerns behind that attention.

2. Comparative billing reports and contractor review activity

   Describes the comparative billing report program and related contractor review efforts involving this service category.

3. Support necessity of E/M, imaging

   Discusses the broader documentation and billing categories associated with the injections, including evaluation and imaging-related services.

4. Check your doctors’ HA billing patterns

   Explains how practices can use reporting and internal comparison data to examine billing patterns and compliance risk.

5. Local coverage and documentation review

   Focuses on the importance of aligning records with contractor coverage policy and documenting the clinical circumstances supporting the service.