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Practice Management Alert

Compliance:

Watch For Extra Scrutiny of Your Incident-to Billing, E/M Coding, and More

Published on Thu Oct 18, 2012

Pay attention to where the OIG will focus to ensure your practice isn't throwing up red flags. 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 [...]
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