decisionhealth Newsletters, Coder Pink Sheets - 2006 Issue 11 (November)
E/M, billing companies, ‘incident to' focus of OIG in '07
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Article Overview
This article summarizes HHS Office of Inspector General (OIG) priorities for 2007 that affect physician practices and Medicare billing. It highlights areas such as E/M services, billing-company relationships, incident-to services, place of service reporting, appeals, therapy claims review, and drug pricing methodology. The piece is useful for coders, billing staff, compliance teams, and practice managers who want a high-level view of government audit focus areas.
Why This Topic Matters
It helps readers understand which physician billing and Medicare payment topics were under government review, supporting compliance awareness and audit preparedness.
What You Will Learn
- Which physician billing and compliance topics were included in the HHS OIG 2007 work plan
- What broad Medicare claim areas were targeted for review
- Why practices should pay attention to government audit priorities and billing oversight trends
- How the article frames the role of OIG, CMS, and related federal oversight bodies
Who Should Read This
- Medical coders
- Billing specialists
- Compliance officers
- Physician practice managers
- Revenue cycle staff
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