Part B Coding Coach: Check Out These Six Ob-Gyn 2014 OIG Work Plan Hot Spots

Why This Topic Matters

It helps ob-gyn practices understand which service categories were under review and why documentation, medical necessity, and billing accuracy matter for Medicare Part B claims compliance.

Article Sections

1. Diagnostic radiology potential minefields

   Discusses Medicare’s review focus on higher-cost imaging services and related documentation concerns in an ob-gyn setting. It frames the issue around medical necessity and audit risk.

2. Electrodiagnostic testing mistakes

   Covers Medicare scrutiny of electrodiagnostic testing billing and the relevance of urogynecology-related testing services. It highlights the general need to align claims with coverage and clinical documentation.

3. Imaging services advice

   Summarizes the Work Plan’s attention to imaging payment patterns and practice expense concerns. It also addresses the importance of supporting ultrasound services with clinical indications.

4. Laboratory test inquiries

   Describes Medicare’s interest in laboratory test billing characteristics and possible questionable billing patterns. The section focuses on how lab ordering and utilization can draw review.

5. Physician and supplier problem area

   Explains Medicare’s review of physician and supplier participation, claim assignment, and beneficiary billing concerns. The section places the topic in the context of Part B participation requirements.

6. Payments for outpatient drugs and administration of the drugs

   Covers Medicare scrutiny of outpatient drug payment issues and administration billing, with attention to services often associated with oncology-related care. It points readers to broader Medicare claims-processing guidance.