Compliance: Consider These Additional OIG Hotspots For 2014

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

Article Overview

This article summarizes several healthcare compliance and billing oversight topics identified in the 2014 Office of Inspector General Work Plan. It is relevant to coders, compliance staff, auditors, and practice managers who want to understand which service categories were under review and what broad issues the OIG planned to examine. The discussion focuses on general areas of concern across multiple specialties and service types, without providing coding instructions.

Why This Topic Matters

The article helps readers identify service areas that may draw heightened audit or compliance attention, supporting internal review and awareness of federal oversight priorities.

Article Sections

  1. Overview

    Introduces additional compliance topics highlighted in the 2014 OIG Work Plan beyond routine evaluation and management and place of service concerns.

  2. Chiropractic Services

    Summarizes the OIG’s attention to chiropractic billing trends and related coverage concerns.

  3. Big-Ticket Radiology Services

    Covers planned review of higher-cost diagnostic radiology services and payment oversight issues.

  4. Electrodiagnostic Testing

    Discusses oversight of electrodiagnostic testing and related utilization review across specialties and regions.

  5. Lab Tests

    Addresses the OIG’s interest in Medicare payment growth and possible billing concerns for laboratory services.

  6. Ophthalmology Billing

    Summarizes planned review of ophthalmology billing patterns and geographic variation.

  7. Physical Therapy

    Covers review of outpatient physical therapy claims and documentation or medical necessity concerns.

What You Will Learn

  • Which service categories were identified as oversight priorities in the 2014 OIG Work Plan.
  • What broad compliance themes were associated with chiropractic, radiology, electrodiagnostic, laboratory, ophthalmology, and physical therapy services.
  • Why certain specialty billing patterns can attract federal review attention.
  • How the article frames the role of the OIG in monitoring utilization and payment concerns.

Who Should Read This

  • Medical coders
  • Compliance officers
  • Auditors
  • Practice managers
  • Billing staff
  • Healthcare administrators

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