Healthcare Compliance Alert
Healthcare Compliance Alert
**ALERT ** ALERT ** ALERT**
The office of Inspector General (OIG) has released its "2011 Workplan". In other words, these areas of compliance are going to be targeted for audit (and fined accordingly, I'm sure).
The areas of specific focus for physicians / medical practices are:
- Place of Service Errors
- Ambulatory Surgical Center Payment System
- Coding of Evaluation and Management Services
- Payments for Evaluation and Management Services
- Evaluation and Management Services During Global Surgery Periods
- Medicare Payments for Part B Imaging Services
- Billing of Portable X-Ray Supplies
- Outpatient Physical Therapy Services Provided by Independent Therapists
- Questionable Billing for Medicare Outpatient Therapy Services
- Appropriateness of Medicare Payments for Polysomnography
- Medicare Payments for Sleep Testing
- Excessive Payments for Diagnostic Tests
- Medicare Part B Payments for Glycated Hemoglobin A1C Tests
- Trends in Laboratory Utilization
- Geographic Areas with a High Density of Independent Diagnostic Testing Facilities
- Independent Diagnostic Testing Facilities' Compliance with Medicare Standards
- Medicare Providers' Compliance with Assignment Rules
- Medicare Payments for Claims Deemed Not Reasonable and Necessary
- Medicare Billings with Modifier GY
- Payments for Services Ordered or Referred by Excluded Providers
- Payments for ESRD Beneficiaries Entitled to Medicare Under Special Provisions
- Error-Prone Providers: Medicare Part A and Part B
- Comprehensive error Rate Testing Program: FY 2010 Error Rate Oversight
- Medicare Services Billed with Dates of Service After Beneficiaries' Dates of Death
For a copy of the entire 2011 Workplan visit http://oig.hhs.gov/publications/workplan/2011/
For more information go to: http://www.physiciantrends.com/
or visit http://www.hna-net.com/index.html and click blogs.
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