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Urology Coding Alert

Medicare Compliance:

Pay Attention to E/M Levels, G Modifiers, and More, OIG Warns

Published on Wed Oct 19, 2011

Check your compliance on the areas in the 2012 Work Plan before OIG does.Every practice knows that with payer audits and recoupment requests coming in, now is the time to step up your compliance but where do you start? The HHS Office of Inspector General (OIG)'s 2012 Work Plan, released on Oct. 5 can point you in the right direction. The OIG has some big plans next year for reviewing Part B claims, and they span the whole spectrum of issues, according to the OIG. Get to know these hot buttons with this rundown. Review Incident-to Billing RequirementsThe OIG intends to determine whether payment for incident to services showed a higher error rate than non-incident to services. "Incident-to services represent a program vulnerability in that they do not appear in claims data and can be identified only by reviewing the medical record," the Work Plan notes. "They may also be [...]
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