Compliance: Tighten Up Documentation, Correct Modifier Use Or Else, Says OIG

Why This Topic Matters

Providers and coding professionals need awareness of these compliance themes because they affect claim integrity, fee schedule assumptions, and audit exposure in common Medicare billing scenarios.

Article Sections

1. OIG compendium overview and global surgery concerns

   Introduces the OIG report and summarizes the compliance focus on global surgery payment assumptions and Medicare fee schedule oversight. It also notes CMS responses and related monitoring activity.

2. OIG Also Pursuing ED Radiology Services

   Describes the OIG’s attention to emergency department diagnostic radiology services and the broader billing concerns raised for Part B claims. It also addresses the request for Medicare contractor analysis support.