NPP Report: OIG will focus on Part B drugs, incident-to billing in 2011

Subscribe or sign in to view the full article.

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

Article Overview

This article covers a Medicare compliance and audit-focused preview of HHS Office of Inspector General priorities for 2011. It is relevant to billing, compliance, and practice management professionals who handle non-physician practitioner claims, Part B drug billing, and off-label drug use oversight. The article summarizes the general areas the agency planned to examine and highlights why these topics were receiving increased attention.

Why This Topic Matters

The article helps readers understand which Medicare billing areas were drawing government review pressure in 2011, especially around non-physician practitioner services and Part B drug claims. That makes it useful for compliance planning, internal auditing, and risk awareness.

Article Sections

  1. OIG 2011 Work Plan Focus Areas

    An overview of the agency priorities highlighted for the upcoming year, with emphasis on Medicare-related billing oversight and non-physician practitioner services.

  2. Part B Drugs

    Discussion of the planned review of drug billing under Medicare Part B and the broader compliance concerns tied to that area.

  3. Off-Label Drug Use

    Coverage of the agency’s attention to off-label use of certain drug categories and the role of recognized guideline sources.

  4. Incident-to Billing

    A summary of the continued focus on incident-to billing and why it remained a compliance concern for providers and NPPs.

What You Will Learn

  • The general Medicare compliance areas receiving OIG attention in 2011
  • Why Part B drug billing was being scrutinized
  • How off-label drug use fit into the planned review priorities
  • Why incident-to billing remained a focus for audits and oversight

Who Should Read This

  • Medical coders
  • Billing staff
  • Compliance officers
  • Practice managers
  • Healthcare auditors
  • Non-physician practitioners

Codes Discussed


Subscribe or sign in to view the full article.

Official DecisionHealth® Newsletter Archives includes:

  • Includes over 25,000 articles from:
    • Coder Pink Sheets
    • Part B News
    • Answer Books newsletters
  • Current newsletters added each quarter
  • Timely news and guidance vital for your practice
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to the Find-A-Code Code Information pages
  • Code Information pages link back to related articles
  • Save yourself tons of research time, find everything in one place!
Access to this feature is available in the following products:
  • DecisionHealth Coding, Billing and Compliance Library

Related Articles

Articles are listed in order of calculated relevance.

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.

Aimee- AI -powered coding assistant - Try it now for Free Would you like Aimee - AI
to help you with this?