OIG eyes diagnostic services, incident to and CCI modifiers

Why This Topic Matters

It helps readers identify the broad compliance and documentation topics being examined by the OIG so they can assess whether their internal processes may need review. The article is useful for professionals working with physician billing, DME paperwork, diagnostic services, and claims edited under coding compliance programs.

Article Sections

1. OIG eyes diagnostic services, incident to and CCI modifiers

   Overview of the OIG workplan topics highlighted in the article, with emphasis on physician-office billing and compliance concerns.

2. Medical necessity of diagnostic tests

   Discussion of diagnostic testing oversight and the documentation focus associated with medical necessity review in physician settings.

3. Incident to

   General discussion of incident-to services and supplies, including the documentation and supervision themes raised for office billing.

4. CMNs

   Coverage of certificates of medical necessity for durable medical equipment and the documentation expectations tied to them.

5. National Correct Coding Initiative (CCI) modifiers

   Overview of review attention on modifier use in connection with correct coding edits and claim payment compliance.