Mastering RAT-STATS may be challenging without sufficient knowledge; gain confidence and understanding for effective usage.
RAT-STATS is a free software package developed and implemented by the Office of the Inspector General to help design, select, and extrapolate statistically valid random samples. The OIG primarily relies on the RAT-STATS software when performing audits of providers. Given the OIG’s use of this software when performing audits of providers, it is important for providers, payers, and compliance professionals to have a good understanding of the RAT-STATS software. Unfortunately, the OIG has released a pair of lengthy documents that do little to explain the software in a digestible manner. This presentation will explain how to use and understand the RAT-STATS software in a user-friendly manner. The presentation explains the software’s purpose, capabilities, and shortcomings. The presentation will also explain some key points to consider when scrutinizing and rebutting poorly performed opposing analysis.
Learning Objectives
- You will be able to understand key considerations in interpreting sample size results for informed decision-making.
- You will be able to develop the ability to interpret and critically assess key factors influencing the extrapolation process.
- You will be able to apply theoretical knowledge through practical exercises using RAT-STATS.
- You will be able to develop a critical mindset for evaluating the reliability and replicability of results.
Agenda
Overview of Rat-Stats Software and Statistical Sampling
- Role of RAT-STATS Statistical Software
- Statistical Sampling Framework and Technical Terminology
- Available Resources for Effectively Implementing Statistical Sampling With RAT-STATS
Sample Size Determination
- Overview of How RAT-STATS Selects a Sample of Sufficient Size to Yield Useful Results
- Key Considerations for Interpreting Sample Size Results
Random Number Generation
- Overview of How RAT-STATS Helps Ensure the Selection of a Random Sample Based Upon a Predetermined Sample Size
- Key Considerations for Random Number Generation
Extrapolation of Results
- Overview of How RAT-STATS Helps to Infer How the Sample Results Relate to the Total Population
- Interpreting Results of Extrapolation
- Key Considerations for Extrapolation
Final Considerations When Using Rat-Stats Software
- Using RAT-STATS Without a Broader Framework
- Proper Documentation for Audit and Replication
- Can the Sample Claims Be Properly Replicated?
Speakers
Knicole C. Emanuel,
Nelson Mullins Riley & Scarborough LLP- Partner in the office of Nelson Mullins
- Over 20 years of experience in healthcare law
- Practice emphasizes healthcare litigation with a focus on Medicaid litigation, healthcare regulatory compliance, and administrative law
- Represented various healthcare entities in overpayments, Medicaid reimbursement, reversal of Medicare terminations
- Conducts regular seminars and workshops on Medicare Coverage and Audits
- Member of the American Health Law Association, and board member for Autism Services and the Brotherhood of Warriors
- B.A. degree, North Carolina State University; J.D. degree, University of Missouri-Kansas City School of Law
Who Should Attend
This live webinar is designed for medical records directors, medical record managers, health information managers, coders, compliance officers, billing managers, administrators, physicians, accountants, nurses and other medical facility staff.
