2013 OIG Work Plan For Physician Practice

Event Information
Product Format
Prerecorded Event
Margie Scalley Vaught, CPC, CPC-H, CPC-I, CCS-P, PCE, MCS-P, ACS-EM, ACS-OR
60 minutes
Product Description

Hone Your Compliance Plans For 2013 With The Latest OIG Updates

If you’re in the healthcare industry, then you know that having a compliance plan is of the utmost importance. The OIG released its 2013 work plan, which means that you can identify areas of risk and key areas to correct.

Register now to be a part of this all-important audio conference, so you will have the latest strategies for passing auditing scrutiny. Our expert presenter Margie Scalley Vaught, CPC, CPC-H, CPC-I, CCS-P, PCE, MCS-P, ACS-EM, ACS-OR, will provide you insights on the hot zones, as well as point out what’s new for physicians. You’ll also receive tips on how to monitor your progress and report the results to your compliance committee. Margie will walk you through the current areas that the OIG will be focusing on that could affect your office and reimbursement. Plus, You'll learn about some of the examples and situations in which the OIG has identified possible areas of abuse and fraud. You'll be able to identify those areas that are concerns in your own offices.

This Session Will Help You:

  • Review The OIG Work Plan Process
  • Medicare Integrity Program – CMS’s Overall Strategy
  • Incident-to services. 
  • E/M services and use of modifiers.
  • Medical Review of Part A & Part B claims submitted by top error -prone providers.
  • Improper use of commercial mailboxes
  • Reliability of service code modifiers on medical equipment claims
  • Part B Imaging Services – Payment for Practice Expenses
  • Physician and Other suppliers – Noncompliance with assignment rules and excessive billing of beneficiaries
  • MSP – Improper Medicare payments for beneficiaries with other insurance coverage
  • Place of Service Errors
  • G modifiers – OIG will look at Part B claims from 2002 to 2011 with G modifiers: GA, GX, GY or GZ. 
  • High cumulative Part B payments to physicians and suppliers. 
  • Non-covered Part B payments
  • Patient safety and quality of surgery and procedures. 
  • How to monitor your progress and report the results to your compliance committee.
  • Claims Processing errors – Medicare payments for Part B claims with G modifiers
  • Nerve conduction studies –  According to the OIG, “The use of electro diagnostic testing for inappropriate financial gain poses a growing vulnerability to Medicare.” The agency will scrutinize electro diagnostic services for questionable billing and,  determine how utilization rates vary by specialty, diagnosis and geographic area.
  • Non-covered Part B payments for chiropractic services. 
  • Patient safety and quality of surgery and procedures. 

Who should attend? Coders, Billers, Office Managers, Practice Managers, Physician and Compliance Managers

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About Our Speaker

Margie Scalley Vaught - Wound Care Coding Expert

With over 30+ years’ experience in the Healthcare arena, in positions from nurse’s aide to ward clerk and medical transcriptionist to office manager, Margie Scalley Vaught, CPC, CPC-H, CPC-I, CCS-P, PCE, MCS-P, ACS-EM, ACS-OR, understands how offices are structured.  Margie spent twenty years in the field of Orthopedics.  She obtained Certified Professional Coder (CPC) designation in 1995 from the American Academy of Professional Coders (AAPC), where she served...   More Info
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