5 ways your ultrasound billing will catch the eye of an auditor

Article Overview

This article covers a recent HHS Office of Inspector General audit focused on ultrasound services and the resulting attention from CMS and other auditors. It is aimed at providers, coders, and billing teams that submit ultrasound claims and need to understand the broad compliance and documentation themes being emphasized, including medical necessity, diagnosis specificity, supervision, ordering documentation, and utilization patterns. The article also points readers to geographic areas associated with unusually high utilization.