OIG: CMS should enforce post-op reporting data during global period

Why This Topic Matters

The report is relevant to medical coders, billing staff, auditors, and compliance teams because it addresses how post-operative visit reporting affects global surgery valuation and Medicare payment accuracy. It also points to CMS oversight expectations for practitioners who should be reporting postoperative visit data.

Article Sections

1. Global surgery data and OIG audit focus

   Introduces CMS global surgery policy and the OIG review of post-operative visit reporting during the global period. It outlines the audit’s general purpose and scope.

2. Audit findings on reported versus expected post-operative visits

   Summarizes the audit’s comparison of valuation assumptions with observed reporting patterns. It also describes the broader payment impact discussed in the report.

3. Medical record support and reporting discrepancies

   Describes the review of medical records against data reported to CMS. It notes the reporting gap identified by the OIG and the administrative issue referenced in the article.

4. OIG recommendation and CMS response

   Covers the recommendation made to CMS and the agency’s response. It frames the article’s closing discussion of oversight and valuation improvement.