Advance: The 2013 OIG Work Plan is Released

Every October the Office of Inspector General (OIG) releases a new Work Plan, one of three OIG publications designed to help coding and compliance professionals ensure that claims are correctly and appropriately submitted for adjudication. Charla Prillaman, CPC, CPCO, CPMA, CPC-I, CCC, CEMC, recently wrote an article on the 2013 OIG Work Plan which was published by Advance for Health Information Professionals.

“One of the areas identified as a risk area in the Work Plan is E/M Services,” says Ms. Prillaman. “Coders should consider spending adequate time to understand the nuances of E/M code level assignment, be prepared to assist providers in understanding the E/M code structure, and help them to capture the work they do in the medical record documentation.” Ms. Prillaman also outlines three ways to evaluate the impact of the new Work Plan in your medical practice, with several steps defined for each: Learn, Ponder, Act.

Evaluation and Management – CEMC

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