ED Coding & Reimbursement Alert - 2016 Issue 22
Compliance: OIG to Probe Care Management, DMEPOS Compliance, and More in 2017
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Article Overview
This article summarizes selected items from the OIG’s 2017 Work Plan and explains why they matter for providers, coders, and compliance teams. It covers broad areas of audit and review interest, including care management, provider-supplier financial relationships, anesthesia and therapy services, prolonged services, and laboratory test oversight. The piece is useful for readers monitoring federal compliance priorities and preparing documentation and billing processes for the year ahead.
Why This Topic Matters
The article helps readers understand where federal oversight is likely to focus and what operational areas may warrant closer internal review. It is relevant to compliance, auditing, and coding staff who need to track high-priority Medicare oversight topics and related documentation concerns.
What You Will Learn
- What the OIG Work Plan is and how it relates to annual compliance priorities
- Which broad service areas are highlighted for review in the 2017 Work Plan
- How the article frames compliance concerns around provider financial relationships and Medicare oversight
- Which categories of services and payment topics are emphasized for closer attention
Who Should Read This
- Compliance officers
- Medical coders
- Auditors
- Billing staff
- Practice managers
- Healthcare administrators
- Physician groups
Codes Discussed
Code Ranges Discussed
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