Risk Areas Planned for Review and Regulatory Changes - New Challenges With Respect to Government Audits and Investigations in Health Care

This webinar will focus on the current healthcare fraud and abuse enforcement environment and the specific emerging risk areas and strategies for dealing with those. Attendees will learn how to best use their existing resources and data to stay ahead of these government audits and investigations.

Why Should You Attend:

With healthcare reform progressing from concept to reality, the efforts to recoup overpayments and identify fraud and abuse have intensified, and there are more agencies than ever looking for these cases. Most organizations are using their resources to get compliant with the many emerging regulations and changes, such as ICD-10 and electronic medical records implementation (Meaningful Use). The myriad of new regulations, emerging trends, and government focus areas is constantly evolving and is overwhelming for many organizations.

This presentation will focus attention on those key issues that are current and emerging hot risk areas in healthcare. It will provide a framework for organizations to direct their efforts and resources in a more targeted fashion, analyzing the OIG Work Plan, fraud alerts, recent Corporate Integrity Agreements, settlements, and other enforcement information. It will also provide ideas on how to mine your own data in ways similar to what the government is doing, in order to identify potential weak spots.

Attend this 60-minute webinar to understand the current fraud and abuse enforcement environment, and the specific emerging risk areas and strategies for dealing with those. Learn how to best use your existing resources and data to stay ahead of these government audits and investigations, and to improve your compliance activities in order to maintain that position going forward.

Areas Covered in the Webinar:

• A high-level overview of current laws and regulations impacting fraud and abuse cases
• A summary of some of the recent fraud and abuse cases
• Current ‘hot topics’ that regulators are targeting
• New and emerging laws and regulations that create additional challenges
• Strategies for identifying your own risks and focusing resources
• The power of data, both on the enforcement side and in your own organization.
• Key activities to build into your existing processes to keep your organization ahead of government audits.

Who Will Benefit:

This webinar will provide valuable assistance to healthcare personnel in medical offices, practice groups, hospitals, academic medical centers, health care billing companies, and healthcare consultants. Specific roles include:

• Compliance Director/Officer
• CEO
• COO
• CFO
• Revenue Cycle Director
• HIM Director
• Billing Office Personnel
• Information Systems Manager
• Internal Audit Personnel
• Medical Staff Leadership
• Denials Prevention, Management, and Appeals Personnel
• Risk Management Personnel
• Case Management
• Utilization Review
• Pharmacy Director
• In-House and Outside Counsel
• Purchasing/Materials Management Director
• Contracts Manager, including Physician Contracts