Outpatient Facility Coding Alert - 2010 Issue 36
Physician Notes: OIG to Scrutinize E/M Coding Errors in 2011
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Article Overview
This article summarizes items highlighted in the OIG’s 2011 Work Plan that are relevant to physicians, coders, compliance staff, and auditors. It focuses on planned review areas involving evaluation and management documentation, Medicare payment oversight, and selected outpatient service categories, as well as a reminder about ICD-9 code use for the new year. The piece is useful for readers monitoring audit risk and compliance trends for 2011.
Why This Topic Matters
The article helps healthcare professionals understand which coding and billing areas the OIG planned to examine in 2011, so organizations could prioritize documentation quality, compliance reviews, and audit preparedness.
What You Will Learn
- Which broad billing and documentation areas the OIG identified for review in its 2011 Work Plan
- How the article frames audit attention around evaluation and management services and other Medicare payment categories
- Why the article is relevant to compliance planning for physicians and billing teams
- What general types of services and claims were singled out for review
Who Should Read This
- Physicians
- Medical coders
- Compliance officers
- Billing staff
- Health system auditors
- Practice managers
Codes Discussed
Modifiers Discussed
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