Areas in the Work Plan affecting hospitals include capital payments, Disproportionate Share payments, bad debts, quality measures data, readmissions, adverse events, payments for X-rays in EDs, EMTALA compliance, and coding and documentation.
Areas affecting physicians include incentive payments for e-prescribing, place of service errors, services performed by clinical social workers, billings using modifier -GY, physician reassignment of benefits, payment for services ordered or referred by excluded providers, and bills with dates of service after the beneficiary’s death date.
Areas specifically affecting surgeons include appropriateness of the methodology for ASC payments, E&M services during global surgery periods, and payments for transforaminal epidural injections to treat leg and back pain.
View the 2010 OIG Work Plan (pdf).
