Reassignment, MRI use among new OIG targets in 2008

Why This Topic Matters

The article helps readers identify topics likely to draw audit attention and understand the broad categories of billing and payment scrutiny described in the OIG work plan. It is useful for organizations monitoring compliance risk and preparing for government review.

Article Sections

1. OIG 2008 Work Plan Overview

   Introduces the annual work plan and explains its role as a signal of likely audit focus areas for the coming year.

2. Selected Physician and Billing Reviews

   Summarizes several physician- and billing-related review areas, including service payment oversight and provider relationship concerns.

3. NPP and Facility-Related Review Areas

   Covers non-physician practitioner topics and selected facility settings that are expected to receive review attention.

4. Drug Payment and High-Cost Utilization Reviews

   Describes planned scrutiny of drug payment methodology, dosage concerns, and utilization patterns for certain services and products.

5. Ambulatory Surgery Center Payment Methodology

   Addresses the payment-setting approach for ambulatory surgery centers and the agency’s interest in the methodology used.