decisionhealth Newsletters, Coder Pink Sheets - 2006 Issue 11 (November)
E/M, ‘incident to' targeted by OIG Work Plan
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Article Overview
This article reviews selected topics from the 2007 HHS Office of Inspector General Work Plan that are relevant to physician practices and Medicare oversight. It highlights broad audit and compliance focus areas involving evaluation and management services during global surgery periods, incident-to services, place of service reporting, appeals processing, and drug reimbursement methodology. The piece is useful for coders, billers, compliance staff, and physician practices that want to understand what types of claims and administrative issues are being examined.
Why This Topic Matters
The article flags Medicare billing and compliance areas that may draw audit attention, making it relevant for practices reviewing claim accuracy, documentation, and reporting processes.
What You Will Learn
- Which physician billing and compliance areas were highlighted in the 2007 OIG Work Plan
- How global surgery-related evaluation and management oversight fits into the broader audit focus
- Why incident-to services and documentation are relevant to Medicare review
- What other administrative and reimbursement topics were included in the OIG’s review agenda
Who Should Read This
- Physicians
- Medical coders
- Medical billers
- Compliance staff
- Practice managers
- Revenue cycle teams
Modifiers Discussed
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