A physician-practice compliance lead uses the OIG Work Plan to prio…

Question

A physician-practice compliance lead uses the OIG Work Plan to prioritize internal audits of E/M leveling and incident-to billing. Which use of that focus is appropriate?

Accepted Answer

Use OIG-highlighted risk areas to guide monitoring and education without altering clinical truth in the record. — The OIG Work Plan is a spotlight, not a script rewrite. Point your audits at hot zones like E/M and incident-to, then fix process and teaching—don't cook the notes to look 'safer.'

Answer

Change documented clinical findings so audited charts always match the Work Plan's preferred code mix.

Answer

Ignore OIG risk areas because Work Plan items never apply to professional-fee clinics.

Answer

Stop coding E/M entirely until the next Work Plan is published.

A physician-practice compliance lead uses the OIG Work Plan to prioritize internal audits of E/M leveling and incident-to billing. Which use of that focus is appropriate?

Short Explanation

Full Explanation