Compliance: OIG Launches Review of IMRT, Laboratory Claims

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 compliance-focused article explains an updated OIG Work Plan and highlights the types of Part B provider claims and operational areas now under review. It is relevant to medical coders, billing staff, compliance teams, radiation oncology practices, laboratory services, and organizations using EHRs within ACOs. The article discusses broad oversight themes such as claim accuracy, Medicare payment analysis, and health information exchange, along with the code references tied to radiation therapy billing.

Why This Topic Matters

Readers can use this article to understand which compliance areas the OIG is prioritizing and to gauge whether their billing, laboratory, or care-coordination processes may be affected by current audit focus.

Article Sections

  1. Latest Work Plan update reveals new audit areas

    Introduces the Work Plan update and summarizes the categories of provider issues added for review. It frames the article’s focus on Medicare-related compliance and audit activity.

  2. Focus on IMRT accuracy

    Covers the radiation oncology audit focus and discusses coding-related changes affecting IMRT reporting in different care settings. The section also references guidance from a professional society document.

  3. Button Up Lab Claims

    Summarizes the laboratory payment review topic and the broader Medicare payment analysis affecting clinical diagnostic lab tests. It also notes prior audit concerns in higher-complexity laboratory environments.

  4. ACOs Should Be Sharing EHRs

    Describes the Work Plan attention on ACO use of electronic health records and interoperability-related care coordination goals. The section focuses on health information exchange and operational use of EHR systems.

What You Will Learn

  • Which compliance areas were added to the OIG Work Plan update
  • How the article frames Medicare oversight of radiation oncology claims
  • What broad laboratory payment and audit themes are discussed
  • Why EHR use and interoperability are being reviewed in ACO settings

Who Should Read This

  • Medical coders
  • Billing staff
  • Compliance officers
  • Radiation oncology practices
  • Clinical laboratory managers
  • ACO administrators
  • Healthcare auditors

Codes Discussed


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.

Related Articles

Articles are listed in order of calculated relevance.

demo
request yours today
subscribe
start today
newsletter
free subscription

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?