tci General Surgery Coding Alert - 2019 Issue 5

OIG Report: Make Sure You’re Ready for CMS’s Audit Spotlight

Code utilization could be a problem. With a recent focus on CMS’s audit-recovery success, an HHS Office of Inspector General (OIG) report signals that you can expect more stringent collection efforts for your general surgery practice in the near future. Make sure you know what audit challenges you might be facing — and how you can prepare to meet the task. Understand the Problem “CMS did not always resolve audit recommendations in a timely manner” in the fiscal years studied, 2015 and 2016, the OIG says in its new report on resolving audit recommendations. “Specifically, CMS...

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