OIG eyes E/M and more

Why This Topic Matters

The OIG Work Plan can signal where Medicare audit attention is likely to increase, making it important for compliance programs, internal audits, and coding education planning.

Article Sections

1. OIG work plan focus on evaluation and management

   Introduces the fiscal year work plan and its emphasis on physician evaluation and management services. It frames the broader compliance context for Medicare oversight.

2. How practices respond to coding scrutiny

   Discusses practice-level auditing and monitoring approaches in response to potential outlier review. It describes general compliance efforts used to identify and address coding concerns.

3. Other physician coding and billing review areas

   Summarizes additional OIG review topics affecting physician billing and Medicare claims. These include service components, pathology arrangements, equipment claims, billing relationships, and overlapping facility services.