Part B Insider - 2015 Issue 23
Audit: Hit List: Beware of OIG's Ongoing Audit Activities
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Article Overview
This article reviews a set of ongoing HHS Office of Inspector General audit and oversight activities highlighted in the FY 2016 Work Plan. It is relevant to compliance, reimbursement, billing integrity, and audit preparedness for hospitals, hospice providers, suppliers, laboratories, ambulance and other outpatient service providers, and organizations affected by Medicare payment oversight. The article broadly covers recurring review areas, contractor oversight, and selected payment/compliance topics without diving into detailed code-level guidance.
Why This Topic Matters
Understanding the OIG's continuing audit priorities helps providers and billing teams focus compliance efforts on areas likely to receive scrutiny. The article is useful for organizations monitoring Medicare oversight trends and preparing for reviews involving payment, coverage, and billing practices.
Article Sections
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OIG FY 2016 ongoing audit activities
An overview of the OIG's continuing review priorities described in the FY 2016 Work Plan. The section covers broad Medicare oversight topics across hospitals, hospice, Part B drugs, and several additional provider and supplier areas.
What You Will Learn
- Which types of Medicare-related audit activities the OIG planned to continue
- What broad provider and supplier categories were highlighted for ongoing review
- How the article frames compliance and oversight priorities under the FY 2016 Work Plan
- Which general Medicare payment and billing areas are included in the OIG's continuing audits
Who Should Read This
- Compliance officers
- Medical coders
- Billing managers
- Revenue cycle teams
- Healthcare auditors
- Hospital administrators
- Hospice administrators
- Medicare providers and suppliers
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