Outpatient Facility Coding Alert - 2019 Issue 4
Industry Note: OIG Adds Podiatry to Its List of Part B Audits
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Article Overview
This article summarizes a recent HHS Office of Inspector General Work Plan update involving Part B podiatry-related services. It explains the general coverage context for routine foot care versus medically necessary services, notes an increase in questioned payments, and highlights a same-day evaluation and management coverage issue in broad terms. The piece is most relevant to podiatry practices, billing staff, compliance teams, and auditors monitoring Medicare Part B risk areas.
Why This Topic Matters
It helps practices and compliance teams recognize that podiatry remains an audit focus under Medicare Part B and that documentation and claim review may warrant extra attention in this area.
What You Will Learn
- How the OIG Work Plan update affects podiatry-related Part B oversight
- The general distinction between routine foot care and medically necessary services
- Why same-day evaluation and management billing is mentioned in the audit context
- What types of stakeholders should pay attention to this audit topic
Who Should Read This
- Podiatry practices
- Medical coders
- Billing staff
- Compliance officers
- Healthcare auditors
- Revenue cycle teams
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