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Healthcare Compliance Alert

Healthcare Compliance Alert

Healthcare Compliance Alert

Healthcare Compliance Alert

**ALERT ** ALERT ** ALERT**

The office of Inspector General (OIG) has released its "2011 Workplan". In other words, these areas of compliance are going to be targeted for audit (and fined accordingly, I'm sure).

The areas of specific focus for physicians / medical practices are:

Place of Service Errors

Ambulatory Surgical Center Payment System

Coding of Evaluation and Management Services

Payments for Evaluation and Management Services

Evaluation and Management Services During Global Surgery Periods

Medicare Payments for Part B Imaging Services

Billing of Portable X-Ray Supplies

Outpatient Physical Therapy Services Provided by Independent Therapists

Questionable Billing for Medicare Outpatient Therapy Services

Appropriateness of Medicare Payments for Polysomnography

Medicare Payments for Sleep Testing

Excessive Payments for Diagnostic Tests

Medicare Part B Payments for Glycated Hemoglobin A1C Tests

Trends in Laboratory Utilization

Geographic Areas with a High Density of Independent Diagnostic Testing Facilities

Independent Diagnostic Testing Facilities' Compliance with Medicare Standards

Medicare Providers' Compliance with Assignment Rules

Medicare Payments for Claims Deemed Not Reasonable and Necessary

Medicare Billings with Modifier GY

Payments for Services Ordered or Referred by Excluded Providers

Payments for ESRD Beneficiaries Entitled to Medicare Under Special Provisions

Error-Prone Providers: Medicare Part A and Part B

Comprehensive error Rate Testing Program: FY 2010 Error Rate Oversight

Medicare Services Billed with Dates of Service After Beneficiaries' Dates of Death

For a copy of the entire 2011 Workplan visithttp://oig.hhs.gov/publications/workplan/2011/

For more information go to: http://www.physiciantrends.com/

or visit http://www.hna-net.com/index.htmland click blogs.
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Healthcare Compliance Alert Anaheim