Compliance: OIG sets its sights on questionable billing of nerve conduction, EMG tests

Why This Topic Matters

The article highlights a federal audit/compliance issue affecting a commonly billed diagnostic service area and explains why certain billing patterns drew scrutiny. It also points to code changes and review activity that may affect how providers document, submit, and defend claims.

Article Sections

1. OIG findings and CMS response

   Summarizes the federal report, the agency response, and the review actions discussed for electrodiagnostic services.

2. Coding and billing changes referenced in the report

   Covers the article’s discussion of code-set revisions, bundling updates, and the general billing changes described by CMS.

3. Questionable billing patterns identified by OIG

   Outlines the broad types of utilization and claim patterns that were flagged in the report.

4. Industry perspective and specialty concerns

   Presents comments from a specialty organization and describes the compliance concerns raised for certain provider groups.

5. Distance, remote interpretation, and care-setting issues

   Discusses the article’s general remarks about service location, provider distance, and onsite versus remote testing context.