tci General Surgery Coding Alert - 2013 Issue 3

Practice Management: Get Ready For OIG Scrutiny of Modifiers and More

Audit yourself before the feds come calling. Your general surgery practice could come under the microscope in 2013 based on the latest work plan for the Office of Inspector General (OIG). Take a look at five focus areas outlined below so you can straighten out any issues before the auditors are at your door. 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, according to the 2013 OIG Work Plan. "We will determine the extent to which CMS...

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