decisionhealth Newsletters, Coder Pink Sheets - 2007 Issue 11 (November)
OIG Work Plan: Sleep study claims to come under microscope
Subscribe or sign in to view the full article.
Article Overview
This article reviews the HHS Office of Inspector General’s 2008 Work Plan and explains why physician practices should pay attention to the areas likely to face Medicare audit scrutiny. It focuses on sleep study and polysomnography claims while also outlining other broad oversight topics such as imaging, ultrasound, reassignment, global period services, specialty hospitals, long-distance care, incident-to services, and assignment-related billing concerns. The piece is most relevant to coders, billers, compliance staff, and physician practices looking to understand the general scope of upcoming review activities.
Why This Topic Matters
OIG Work Plan items often signal where Medicare audits and documentation reviews may increase, so practices can identify high-risk service areas and assess whether their records and billing processes are ready for review.
Article Sections
-
Sleep study claims under review
Introduces the Work Plan focus on sleep-related testing and explains the broader compliance context for physician practices. It highlights why these claims are drawing attention from federal oversight.
-
Other areas of OIG interest
Summarizes additional subjects identified for review in the Work Plan, including imaging, ultrasound, reassignment arrangements, global period services, specialty hospitals, long-distance care, incident-to services, and assignment-related billing concerns.
What You Will Learn
- Why the OIG Work Plan matters for Medicare-compliant billing and documentation
- Which broad service areas are included in the upcoming review agenda
- How compliance teams can use the Work Plan as an indicator of audit focus
- What categories of physician practice activity are drawing government attention
Who Should Read This
- Physician practices
- Medical coders
- Medical billers
- Compliance officers
- Revenue cycle staff
- Healthcare auditors
Subscribe or sign in to view the full article.


Quick, Current, Complete - www.findacode.com