Compliance: OIG to Scrutinize Prolonged Services, Home Visits and More in 2016

Why This Topic Matters

It helps readers identify which Medicare service categories were being targeted for review in 2016 and understand the broad compliance and documentation issues likely to draw audit attention.

Article Sections

1. Prolonged Services Under Fire

   Discusses the planned review focus on prolonged services and the documentation concerns associated with those claims. It also references new prolonged-services-related code updates in the CPT 2016 context.

2. Watch Your Home Visits

   Covers the planned review of home visit services and the broader documentation themes tied to medical necessity and place-of-service considerations. The section also points readers to Medicare manual language relevant to home-visit documentation.

3. Some Issues Carry Over From 2015

   Summarizes other audit topics that continue from the prior year, including anesthesia, chiropractic services, portable x-rays, and outpatient physical therapy.