Compliance:
Watch for Extra Scrutiny of Your Ophthalmological Services
Published on Wed Dec 12, 2012
Incident-to billing, E/M coding, and more are on the OIG watch list in 2013. If you are getting ready to start a self-audit but have no idea where to focus, there is good news. Thanks to its 2013 Work Plan, released on Oct. 2, the HHS Office of Inspector General (OIG) points you in a direction. According to the report, the OIG has some big plans next year for reviewing claims, and they span the whole spectrum of issues. Take a look at some of the areas under the OIG microscope so your practice can straighten out any issues before the auditors come knocking. 1. Potentially Inappropriate E/M Payments and ‘Identical Documentation.’ The OIG intends to go back in time -- all the way to 2010, to be exact, when reviewing E/M claims. "We will determine the extent to which CMS made potentially inappropriate payments for E/M services in 2010 and [...]