Compliance: Identical Documentation, Inappropriate E/M Payments On OIG's Radar
Watch out for improper modifier use and incident-to billing in 2013.The Health and Human Services Office of Inspector General (OIG) released the 2013 Work Plan in October and it spans the whole spectrum of issues that the OIG has found to be hotspots. Take a look at some of the areas under the OIG microscope so that your practice can straighten out any problems before the auditors come knocking.1. Potentially Inappropriate E/M Payments and 'Identical Documentation.' The OIG intends to go back in time -- all the way to 2010, to be exact, when reviewing E/M...
To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.
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
Access to this feature is available in the following products: