How practice came into compliance after OIG zapped it for $360K

Why This Topic Matters

Incident-to and supervision-related billing issues can create significant repayment and compliance risk for practices. Understanding the broader regulatory and operational lessons helps organizations reduce audit exposure and strengthen billing controls.

Article Sections

1. Incident-to billing compliance problem

   Introduces the practice’s billing issue and the Medicare compliance concerns that followed government review.

2. Government audit and repayment outcome

   Summarizes the external complaint, audit process, and resulting corrective action described in the article.

3. Lessons learned

   Describes the practice changes made after the audit, including training, workflow updates, and monitoring measures.