Wednesday, May 6, 2009

OIG's work plan.

Have you ever wondered what Medicare was going to focus on and who medicare was going to focus on with their Auditing of Charts? Well know you can. Bookmark this site. This is the work plan for the office of Inspector General of the United States.

From the Site:

The OlG Work Plan sets forth various projects to be addressed during the fiscal year by the Office of Audit Services, Office of Evaluation and Inspections, Office of Investigations, and Office of Counsel to the Inspector General. The Work Plan includes projects planned in each of the Department's major entities: the Centers for Medicare & Medicaid Services; the public health agencies; and the Administrations for Children, Families, and Aging. Information is also provided on projects related to issues that cut across departmental programs, including State and local government use of Federal funds, as well as the functional areas of the Office of the Secretary. Some of the projects described in the Work Plan are statutorily required, such as the audit of the Department's financial statements, which is mandated by the Government Management Reform Act.

Here's the plan

  • Place of Service Errors
  • Evaluation and Management Services During Global Surgery Periods
  • Medicare Practice Expenses Incurred by Selected Physician Specialties
  • Services Performed by Clinical Social Workers
  • Outpatient Physical Therapy Services Provided by Independent Therapists
  • Medicare Payments for Colonoscopy Services
  • Physicians’ Medicare Services Performed by Nonphysicians
  • Appropriateness of Medicare Payments for Polysomnography
  • Long-Distance Physician Claims Requiring a Face-to-Face Visit
  • Geographic Areas With a High Density of Independent Diagnostic Testing Facilities
  • Patterns Related to High Utilization of Ultrasound Services
  • Medicare Payments for Chiropractic Services Billed With the Acute Treatment Modifier
  • Physician Reassignment of Benefits
  • Medicare Payments for Unlisted Procedure Codes
  • Laboratory Test Unbundling by Clinical Laboratories
  • Variation of Laboratory Pricing
  • Clotting Factor Furnishing Fee
  • Medicare Billings With Modifier GY

If you are doing any of these things or have any issues with this. Consider this blog post fair warning!

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