Revenue Cycle

OIG issues 2011 Work Plan

Recovery Auditor Report, October 14, 2010

Medical devices, radiation therapy quality and safety, and an expanded focus on the three- and one-day payment windows are among the highlights of the Office of Inspector General’s (OIG) fiscal year (FY) 2011 Work Plan. The Work Plan, posted October 1, introduces some new focus areas but largely continues the OIG’s stance from 2010.

“What we’re really looking at are four or five really brand new issues,” says Stephen Miller, JD, chief compliance and privacy officer for Trenton, NJ-based Capital Health System, Inc. This should make the work easier for hospital compliance officers, who often target new topics as ones for which they must develop additional auditing tools and strategies.

New topics address quality, billing concerns

Among entrants to the OIG list for 2011, Debbie Mackaman, RHIA, CHCO, regulatory specialist for HCPro, Inc., in Marblehead, MA, highlights the following:

  • Brachytherapy reimbursement
  • Replacement of devices received at no cost or reduced cost
  • Safety and quality of intensity-modulated radiation therapy (IMRT)
  • Safety and quality of image-guided radiation therapy (IGRT)

“Any time the OIG adds new issues, such as medical devices, brachytherapy, IMRT and IGRT, facilities who provide these services should sit up and take notice,” Mackaman says.

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