Our discussion will provide a summary of all audit and enforcement activities in the 2017 Work Plan, with a focus on new or revised hospital risk areas such as:
- Hyperbaric Oxygen ("HBO") Therapy Services
- Incorrect Medical Assistance Days Claimed by Hospitals
- Inpatient Psychiatric Facility Outlier Payment
- Intensity-Modulated Radiation Therapy ("IMRT")
We will discuss the ongoing activities and also "Other Providers" audit activities, including methods on how to conduct internal monitoring for compliance.
Objectives of the Presentation
Compliance, billing and healthcare operations will benefit by understanding the new additions to this year's OIG Work Plan, as well as ongoing audit activities that may affect their organizations. The Work Plan should be reviewed to determine areas that may be at risk and require audit or monitoring activities.
Why Should you Attend
This course will look at the OIG Work Plans for 2017: the mid - year report from 2016 regarding healthcare related plans. The OIG work plans often drive the focus of governing bodies when it comes to audits and oversights. Knowledge of the work plans allows your organization to prepare and ensure that you are meeting all areas of compliance. This reduces your risk from poor outcomes when a governing body audits your organization.
OIG Work plans often focus on areas of concern for fraud and abuse; they also look at how the governing bodies are monitoring themselves and their control over areas at risk for fraud or abuse. The OIG work plan provides your organization with knowledge about not only what is being looked at but to what degree as well. This allows you to use this information to ensure that your organization has taken the time to ensure that compliance are present in all areas and that steps have been taken to eliminate practices, which could potentially be viewed as fraud or abuse. Given the level and intensity of regulations that are present in healthcare, it is important that every organization do its part to reduce and eliminate potentially abusive or fraudulent practices. Providers need to be aware of the practices that could indicate the above.
Attendees will leave the course by clearly understanding the current OIG work plans for 2017, the process used by the OIG to conduct audits and how this information can be used by your organization to reduce your risk for compliance related issues.
Who will Benefit
- Knowledge of OIG work plans for 2017
- How the OIG work plans drive closer scrutiny of Healthcare organizations
- Impact to your organization
- Reports with in the OIG - benefit to your organization
- How to improve your organizations internal audits from this information
- Educational supports available from the OIG to increase compliance
- Hospital risk areas - new and ongoing
- Other Providers and Supplier risk areas - new and ongoing
- Methods to conduct internal auditing or monitoring activities that may affect your organization
The course will benefit the following stakeholders:
- Clinical Operations Staff
- Project Team Members
- Quality Assurance, Monitors
- Regulatory Affairs
- Investigators & Site Study Staff
- Operational Professionals