The
OIG’s Work Plan for 2017 will focus on some issues we have already identified as problematic and others which will be of concern to our primary client basis. Among these will be a focus on transitional care management and chronic care management for which there are, still today, no regulations or manual provisions. The requirements to bill for these services are set forth in FAQs, Fact Sheets and MedLearn network articles. Alice has
published 3 articles criticizing the general approach including one which examines closely the evolution of fee for service CPT codes which pay physicians for time when they are not face-to-face with the patient. Other topics the OIG will address present fair warning to those who would bill for them to make sure they are doing it right, including physician home visits, prolonged services, sleep studies, physical therapy utilization and chiropractic services.