Healthcare compliance audits and investigations are occurring at unprecedented rates. Gone are the days when the large hospitals and pricey DRGs (diagnosis-related groups) were the only targets on the radar for compliance enforcement. Each year the OIG releases its respective work plan which highlights areas and services that represent high-priority audit targets during the upcoming fiscal year. It is imperative for organizations to stay diligent and apprised of these compliance initiatives and be especially proactive in their compliance efforts, conduct regular audits of processes and clinical documentation, and comply with the mandatory self-reporting requirements set forth by the Affordable Care Act. In today’s webinar, we discuss the key governing authorities involved in healthcare compliance, pathways involved in audits and investigations, review the OIG work plan, spotlight current audit trends and audit targets, identify relevant action protocols, discuss recent OIG advisory opinions, identify elements of an effective compliance plan, and discuss actionable best practice tips.
Why Should You Attend
Healthcare is a multi-trillion-dollar industry that remains highly regulated. When organizations bill for services, they are reimbursed on a good-faith basis with the expectation that clinical documentation supports the services reported and regulatory compliance has been met.