Audit: Hit List: Beware of OIG's Ongoing Audit Activities

Subscribe or sign in to view the full article.

Note:  The following article synopsis was NOT provided by AAPC. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews a set of ongoing HHS Office of Inspector General audit and oversight activities highlighted in the FY 2016 Work Plan. It is relevant to compliance, reimbursement, billing integrity, and audit preparedness for hospitals, hospice providers, suppliers, laboratories, ambulance and other outpatient service providers, and organizations affected by Medicare payment oversight. The article broadly covers recurring review areas, contractor oversight, and selected payment/compliance topics without diving into detailed code-level guidance.

Why This Topic Matters

Understanding the OIG's continuing audit priorities helps providers and billing teams focus compliance efforts on areas likely to receive scrutiny. The article is useful for organizations monitoring Medicare oversight trends and preparing for reviews involving payment, coverage, and billing practices.

Article Sections

  1. OIG FY 2016 ongoing audit activities

    An overview of the OIG's continuing review priorities described in the FY 2016 Work Plan. The section covers broad Medicare oversight topics across hospitals, hospice, Part B drugs, and several additional provider and supplier areas.

What You Will Learn

  • Which types of Medicare-related audit activities the OIG planned to continue
  • What broad provider and supplier categories were highlighted for ongoing review
  • How the article frames compliance and oversight priorities under the FY 2016 Work Plan
  • Which general Medicare payment and billing areas are included in the OIG's continuing audits

Who Should Read This

  • Compliance officers
  • Medical coders
  • Billing managers
  • Revenue cycle teams
  • Healthcare auditors
  • Hospital administrators
  • Hospice administrators
  • Medicare providers and suppliers

Subscribe or sign in to view the full article.

Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

Thank you for choosing Find-A-Code, please Sign In to remove ads.

Aimee- AI -powered coding assistant - Try it now for Free Would you like Aimee - AI
to help you with this?