Compliance issues: OIG Work Plan keeps common services under the microscope

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains the main Medicare compliance and audit topics highlighted in OIG’s 2014 Work Plan. It is aimed at physicians, anesthesia and pain management practices, rehabilitation providers, and compliance professionals who need to understand which service areas and contractor activities were receiving increased scrutiny and how the Work Plan fit into broader Medicare oversight trends.

Why This Topic Matters

The article helps readers identify which common services and administrative areas were being monitored more closely by OIG, so they can assess compliance risk and stay aware of audit-focused Medicare oversight.

Article Sections

  1. OIG Work Plan targets affecting Part B services

    Overview of the 2014 Work Plan and the Part B service areas drawing attention. The section frames the article’s focus on recurring audit topics and newly highlighted issues.

  2. Anesthesia, imaging, lab services, and related monitoring

    Discussion of the service categories under review, including anesthesia-related oversight and other commonly audited diagnostic and ancillary services. The section also notes broader patterns in utilization review.

  3. Physical therapy and medical necessity scrutiny

    Coverage of therapy-related oversight and the documentation themes associated with high-utilization outpatient therapy claims. The section emphasizes the compliance concerns raised for referring providers and therapy partners.

  4. Contractors under fire

    Examination of Work Plan activity focused on Medicare contractors and their operations. The section discusses oversight of claims-processing, administrative practices, and audit-process performance.

What You Will Learn

  • Which Medicare Part B service areas were being emphasized in the 2014 OIG Work Plan
  • Why anesthesia and pain management practices were considered higher-risk compliance areas
  • What kinds of therapy and contractor oversight issues were being highlighted
  • How OIG scrutiny extended beyond claims to the performance of Medicare contractors

Who Should Read This

  • Anesthesiologists
  • Pain management providers
  • Rehabilitation therapy providers
  • Medical practice compliance staff
  • Billing and coding professionals
  • Medicare contractors and audit stakeholders

Codes Discussed

Modifiers Discussed


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