Sep 11th, 2018
Comments Off on OIG Work Plan: July 2018 Need-to-know Updates
Make time to compare your compliance efforts with OIG’s monthly work plan updates. It has been a year since the Office of Inspector General (OIG) changed its Work Plan format and began issuing monthly updates. The monthly breakdown provides updates and better transparency of the OIG’s efforts. Healthcare organizations and provider offices should take time ...
Apr 1st, 2013
By William C. Fiala, MA, CPC, CCS-P, and Nicholas J. Jouriles, MD, FACEP Research and reporting going back nearly two decades suggests that hospital inpatients are increasingly sicker, and their care more complicated. Intuitively, this greater inpatient acuity should result in higher emergency department (ED) evaluation and management (E/M) service levels for those patients admitted ...
In Audit
Oct 22nd, 2012
By Mary LeGrand, RN, MA, CPC, CCS-P Karen Zupko & Associates, Inc. Imagine an auditor looking at the distribution of evaluation and management (E/M) services for your practice. What would the auditor find as he or she compared your practice’s usage patterns to other physicians in the same specialty in your state? If a provider ...
Nov 1st, 2011
Benchmarking provider services shows variations in practice patterns, and helps to define a practice as an outlier. By Mary LeGrand, RN, MA, CPC, CCS-P Imagine an auditor looking at the distribution of evaluation and management (E/M) services for your physicians and non-physician practitioners (NPPs). What would he or she find when comparing your office’s usage ...