2013 OIG Workplan

The Office of Inspector General (OIG) has released its Fiscal Year 2013 Work Plan. The OIG releases a Work Plan annually to identify the investigative, enforcement and compliance activities that it will undertake in the coming fiscal year. Some areas affecting radiology providers are identified below.

Part B Imaging Services—Payments for Practice Expenses

OIG will review Medicare payments for Part B imaging services to determine whether they reflect the expenses incurred and whether the utilization rates reflect industry practices.

Diagnostic Radiology—Medical Necessity of High-Cost Tests

OIG will review Medicare payments for high-cost diagnostic radiology tests to determine whether they were medically necessary and the extent to which the same diagnostic tests are ordered for a beneficiary by primary care physicians and physician specialists for the same treatment.

Source: https://oig.hhs.gov/reports-and-publications/archives/workplan/2013/Work-Plan-2013.pdf