decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Preventive Tests, Immunizations and Vaccines / OIG's 2006 Work Plan Adds Preventive Tests to its Watch List
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Article Overview
This article discusses OIG attention to preventive care billing patterns and the Medicare preventive services added in 2005 that may draw review. It is intended for physicians, coders, and compliance staff who handle preventive testing and screening claims and need to understand the general compliance concerns raised by the Work Plan update.
Why This Topic Matters
Preventive services billing can be subject to closer scrutiny when claim patterns suggest possible misuse of covered screening benefits. The article helps readers identify the broader compliance and audit context surrounding preventive tests and immunization-related care.
What You Will Learn
- How OIG and Medicare oversight can affect preventive services billing
- Why preventive screening claims may attract audit attention
- What general compliance areas are associated with Medicare-covered preventive tests
- How providers can think about internal review of preventive care billing patterns
Who Should Read This
- Physicians
- Medical coders
- Billing staff
- Compliance professionals
- Practice managers
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