decisionhealth Newsletters, Part B News - 2014 Issue 2 (February)
OIG Work Plan goes easy on Part B — but look out for specialty, vendor issues
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Article Overview
This article summarizes selected 2014 Office of Inspector General Work Plan priorities tied to Medicare Part B. It is relevant to compliance staff, physician practices, specialty providers, suppliers, and billing professionals who track audit trends, contractor oversight, enrollment integrity, and related Medicare program monitoring topics. The piece also highlights the general categories of issues the OIG said it would review, including specialty-specific scrutiny, vendor compliance, contractor operations, and provider record accuracy.
Why This Topic Matters
The article helps readers gauge which Medicare Part B compliance areas were drawing audit attention in 2014 and which provider groups or business functions were most likely to be affected. It is useful for organizations assessing risk, internal review priorities, and the broader compliance environment around Medicare oversight.
Article Sections
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Specialties scrutinized
This section discusses specialty-focused oversight themes affecting selected provider groups and the types of Medicare compliance issues under review.
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Contractors under fire
This section covers OIG attention on Medicare contractors, administrative processes, and related oversight of claims operations and appeals activity.
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Enrollment issues target defunct providers
This section addresses OIG review of provider enrollment records, inactive provider information, and accuracy-related concerns in Medicare systems.
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Watch for 16 new Part B-related issues OIG will target in 2014
This section presents the article’s summary list of new Part B-related Work Plan topics affecting physicians, suppliers, drugs, technology, and program oversight.
What You Will Learn
- Which broad Medicare Part B areas were highlighted in the OIG Work Plan
- What kinds of specialty-provider and vendor issues were identified for review
- How contractor oversight and enrollment integrity fit into the Work Plan
- Which general categories of Part B compliance topics were newly emphasized
Who Should Read This
- Compliance officers
- Medical coders
- Billing managers
- Physician practices
- Specialty providers
- Durable medical equipment suppliers
- Medicare contractors
- Healthcare consultants
Codes Discussed
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