Enforcement: WHAT'S IN STORE FOR 2004

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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 piece summarizes the HHS Office of Inspector General’s Work Plan for fiscal year 2004 and explains the broad enforcement and oversight areas it intended to emphasize over the coming year. It is relevant to compliance, billing, auditing, and fraud-and-abuse professionals who need to understand where government scrutiny was expected to focus, including provider exclusions, False Claims Act support, site visits, and attention to specific audit and program integrity topics. The article also highlights general areas of heightened interest for drugmakers and nursing homes, along with references to a modifier-related review.

Why This Topic Matters

Understanding the OIG’s annual priorities helps providers, suppliers, and compliance teams anticipate areas of enforcement risk and adjust internal monitoring efforts accordingly.

What You Will Learn

  • What the OIG identified as its broad enforcement priorities for the upcoming fiscal year
  • Which types of program integrity activities were expected to continue
  • Why certain provider and facility sectors were expected to receive increased attention
  • How annual work plans can signal areas of heightened compliance risk

Who Should Read This

  • Compliance officers
  • Medical coders
  • Billing specialists
  • Revenue cycle professionals
  • Healthcare administrators
  • Fraud and abuse investigators
  • Auditors

Modifiers Discussed


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