ABSTRACT
We will discuss different types of audits and also review some of the ongoing efforts from the OIG and the Medicare program itself. These many different types of audits have all uncovered significant issues that can generate improper payments. The OIG has issued guidance for healthcare providers through the Federal Register. While this compliance guidance is general in nature, a very large subset of this guidance concerns coding, billing, reimbursement, and the overall payment process. Also, the OIG issues an annual report listing various concerns, and then also issues many reports on their findings from limited audits.
