decisionhealth Newsletters, Part B News - 2010 Issue 10 (October)
NPP Report: OIG will focus on Part B drugs, incident-to billing in 2011
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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
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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.
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Part B Drugs
Discussion of the planned review of drug billing under Medicare Part B and the broader compliance concerns tied to that area.
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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.
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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
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