decisionhealth Newsletters, Part B News - 2011 Issue 10 (October)
7 new OIG physician targets you must prepare for in 2012
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Article Overview
This premium article summarizes newly highlighted OIG audit and oversight priorities for physicians and other Part B providers in 2012. It is relevant for compliance staff, auditors, physicians, and billing leaders who need to understand the general areas under increased scrutiny, including incident-to billing, E/M-related review topics, global surgery period oversight, specialty-specific Part B payment review, ambulatory surgery and outpatient safety, and physician-owned distributor issues. The article also places these topics in the context of internal auditing and broader Medicare compliance monitoring.
Why This Topic Matters
It helps practices identify the broad compliance areas most likely to be reviewed by government auditors and to prioritize internal monitoring efforts.
Article Sections
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Federal audits
Introduces the 2012 Work Plan focus areas and frames the article around Medicare oversight of physician and Part B billing. It also discusses the broader compliance environment and audit attention affecting providers.
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Seven new OIG targets
Summarizes the main physician and Part B review areas highlighted in the Work Plan. The section outlines the general topics under review, including billing patterns, service settings, and provider arrangements.
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Proactive approach key to addressing new OIG issues
Describes the article’s compliance-oriented discussion of internal preparation and audit readiness. It emphasizes ongoing monitoring, documentation review, and attention to recurring Medicare oversight topics.
What You Will Learn
- The main physician and Part B compliance areas highlighted in the 2012 OIG Work Plan
- How the article frames incident-to and E/M billing as audit priorities
- Why global surgery period review is part of the oversight discussion
- Which broader provider and facility topics are included in the Work Plan summary
- How the article approaches internal compliance and audit preparedness
Who Should Read This
- Physicians
- Medical practice managers
- Compliance officers
- Professional coders
- Billing staff
- Healthcare auditors
Modifiers Discussed
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