The Office of Inspector General (OIG) Work Plan for 2013 was released in October. Are you ready to implement the myriad of updates about potential risks in your Urology coding, billing and collections?
Was that a faint “yes” or a resounding one? With the New Year fast approaching, the time is now to make sure your practice is fully prepared and your compliance plan is up to date.
It is helpful for your compliance plan to include answers to the following questions:
- What is the OIG Work Plan process?
- What compliance areas should your practice address?
- What issues will be investigated next by the RAC?
- How do the RAC development and approval of issues work?
- What are the top OIG trends for issues, and what is their relationship to RAC issue development?
- What conclusions should you form from the various OIG reports to audits and studies performed as part of the OIG Work Plan?
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Your Urology medical coding, billing and collections compliance plan will also need to reflect the following 2013 OIG changes:
- Electrodiagnostic Testing—Questionable Billing (New)
- Claims Processing Errors—Medicare Payments for Part B Claims With G Modifiers (New)
- Evaluation and Management Services—Use of Modifiers During the Global Surgery Period
- Physicians and Other Suppliers—Noncompliance With Assignment Rules and Excessive Billing of Beneficiaries
- Physicians—Error Rate for Incident-To Services Performed by Non-physicians
- Physicians—Place-of-Service Coding Errors
- Evaluation and Management Services—Potentially Inappropriate Payments in 2010
- Laboratory Tests—Billing Characteristics and Questionable Billing in 2010
- Laboratory Tests—Part B Payments for Glycated Hemoglobin A1C Tests
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The OIG information is cumbersome and complex. It’s a full time job for your in-house Urology medical coding, billing and collections team just to understand all the nuances and keep up with the changes.
That’s why keeping you continually up to date on compliance, while maximizing your Urology revenue cycle management return, is revMD’s specialty… and passion. Formerly known as Asterino & Associates, revMD is the results-proven alternative for Urology revenue cycle management based just east of Phoenix, Arizona. They specialize in Urology practice compliance and continually maintain strict adherence to OIG regulations. revMD works closely with practice based Urology practices to ensure a compliance plan is in place. Fully prepared for OIG regulation changes in 2013, revMD ensures that Urology medical coding, billing and collections reduce denied claims with the highest levels of compliance while yielding optimal Urology revenue reimbursement. And they eliminate the headache for Urology practices that try on their own to juggle all the changes along with their delivery of patient care.
Any more, it takes an industry insider with the experience that only builds when your services have responded to the specific needs of Urology revenue cycle management for more than 25 years.
For further OIG Work Plan details: Download a PDF of the 2013 OIG Work Plan.