tci Medicare Compliance & Reimbursement - 2008 Issue 33

Compliance: OIG to Focus on Incident-to Services, Ultrasounds, Unlisted Procedures, And More in 2009

The OIG's 2009 Work Plan indicates that modifier GY, nonphysician practitioner pay, and other targets are on its radar screen. Next year you'll want to make sure you cross all your t's and dot all your i's, because the OIG has released its 2009 Work Plan -- which includes plans for reviewing Medicare claims for everything from the appropriateness of the GY modifier to diagnostic x-rays in the ED. The Work Plan: The OIG Work Plan details issues that the Office of Audit Services, Office of Evaluation and Inspections, Office of Investigations, and Office of Counsel to the Inspector...

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