OIG work plan warnings

Why This Topic Matters

The article highlights compliance areas that can draw audit attention and affect whether services are paid separately or reviewed for improper billing. It is useful for practices that want to understand the general Medicare oversight themes discussed in the OIG Work Plan.

Article Sections

1. OIG Work Plan focus on modifier use

   Introduces the general oversight themes discussed in the Work Plan and the types of billing patterns being reviewed. It frames the article around compliance concerns related to office services and procedures.

2. Incident-to billing and supervision

   Covers Medicare billing of services provided by auxiliary personnel and the supervision issues discussed in the article. It explains the broad documentation and reporting concerns associated with this area.

3. Modifier -59 and separate procedure reporting

   Discusses scrutiny of another modifier category used to indicate distinct services and the need for supporting documentation. It also addresses general concerns about unbundling and claims review.