Outpatient Facility Coding Alert - 2017 Issue 7
Compliance: Take a Look at What's on the OIG Hit List
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Article Overview
This article reviews the HHS Office of Inspector General’s annual Compendium of Unimplemented Recommendations and highlights the major program areas the agency says need attention. It is aimed at compliance, billing, and healthcare operations audiences interested in Medicare, Medicaid, home health, hospice, skilled nursing facilities, electronic health records, and other federal oversight priorities. The piece provides a high-level overview of the report’s themes, the agencies involved, and the categories of improvements the OIG says remain outstanding.
Why This Topic Matters
The article helps readers understand where federal oversight is concentrating and what types of program integrity and payment issues remain on the HHS OIG’s agenda. That makes it relevant for organizations monitoring compliance risk, reimbursement trends, and federal audit priorities.
Article Sections
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Background
Introduces the OIG compendium and the range of HHS programs it covers. Also notes the organizations and oversight areas discussed in the annual report.
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Top issues
Summarizes the main priority areas the OIG says still require HHS and state action. The section outlines the broad compliance and program integrity themes emphasized in the report.
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OIG Homes In On Medicare
Describes Medicare Part A, Part B, Part C, and Part D topics highlighted in the compendium. The discussion focuses on payment policy, program oversight, and beneficiary protection issues.
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SNFs Come Under Fire
Covers the report’s attention to skilled nursing facility payment and therapy-related concerns. The section also addresses Medicare payment methodology issues raised by the OIG.
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EHR Concerns Persist
Reviews the OIG’s concerns about electronic health record-related fraud vulnerabilities and interagency efforts to address them. The section focuses on health IT oversight and compliance risk.
What You Will Learn
- Which broad HHS program areas are emphasized in the OIG compendium
- What types of Medicare, Medicaid, and health IT issues remain on the OIG’s priority list
- How the article frames compliance and program integrity concerns across multiple federal agencies
- Why home health, hospice, skilled nursing facilities, and EHR oversight remain important topics
Who Should Read This
- Compliance officers
- Medical coders
- Billing and reimbursement professionals
- Revenue cycle teams
- Healthcare administrators
- Health policy readers
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