tci Medicare Compliance & Reimbursement - 2006 Issue 39

COMPLIANCE: Watch Out--OIG Zeroes In On Incident-To Billing

Federal watchdog agency's work plan will keep it busy next year.The HHS Office of Inspector General (OIG) plans to issue a report on whether providers are following all the requirements for incident-to billing, including direct physician supervision. The OIG wants to know whether these services met the Medicare standards for medical necessity, documentation and quality of care, according to the OIG's 2007 Work Plan. Other topics in the OIG's 2007 Work Plan include: 1) Global periods. The OIG suspects that providers may be billing for too many evaluation & management (E/M) services during the global period after a...

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