Healthcare News & Insights

2017 OIG Work Plan: What’s critical for hospitals

The Office of Inspector General (OIG) has released its annual Work Plan. The updated Work Plan has several new areas of focus that hospitals must know for the new year to avoid federal scrutiny and stay in compliance.

Make sure your facility compliance team is aware of the following changes were introduced in last year’s Work Plan.

For 2017, the agency revised its review of outpatient payments for intensity-modulated radiation therapy to see whether hospitals are billing correctly for the services included in this treatment.

Other areas that are still in the OIG crosshairs include:

  • outpatient outlier payments for short-stay claims
  • hospitals™ use of outpatient and inpatient stays under the śtwo-midnightť rule
  • reconciliations of outlier payments
  • payments given to provider-based facilities and free-standing clinics, and
  • costs associated with defective medical devices.

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