2015 OIG Work Plan-Is Your Practice Prepared?

2015 OIG Work Plan-Is Your Practice Prepared? (PDF Upload from – http://goo.gl/3zMcTx)

Some areas that they are going to review are providers of:

1. Anesthesia Services – Personally Performed Services (Review your modifier “AA”)
2. Chiropractic Services – Inapproproate Payments and Questionable billing
3. Physicians – Place of Service Code Errors (eg POS 11, 21, 22, 24 etc..) were you billing claims with the right place service code where you actually rendered the service or where the patient received encounters?  CLICK HERE –>> and Read and review the CMS New Rule for Place of Service Coding for Physician Professional Component in 2013
4. Physical Therapists – High Use of Outpatient PT Services
5. ASC or the Ambulatory Surgery Center Payment System
6. Opthalmologists’ Services – Inappropriate Payments and Questionable billing



2015 OIG Work Plan-Is Your Practice Prepared?


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Author: Pinky Maniri

Ms. Pinky, as she is fondly called - is a Reputable Professional Consultant and Expert in Practice Administration, Medical Billing, Coding, Health Information Technology, Insurance Credentialing and Compliance for Physician Offices. Well-educated with a Degree in Computer Systems Engineering and a background in Clinical Nursing and Small Business Management. Her professional mission is to make sure her clients/physicians maximize reimbursement while they remain compliant with the current rules, changes, guidelines and policies. Read More About Ms. Pinky here and See what Other's say about her Expertise Testimonials

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