The 2008 Office of the Inspector General's (OIG) work plan provides a list of areas considered subject to abuse, and therefore, increased scrutiny. Although many of the 2008 OIG’s initiatives are carried over from past years, this year it has included several new focus areas.
The recovery audit contractor (RAC) demonstration program was slated to end this month, but the Tax Relief and Health Care Act of 2006 has made the RAC program permanent. It requires that HHS implement the program to identify Medicare underpayments and overpayments nationwide by 2010. To accomplish that objective, CMS plans to implement the RAC program in phases with the first phase beginning now.
Join Healthcare Reimbursement Monitor and Duane Abbey, a renowned healthcare compliance and reimbursement expert, for "Identifying Top Reimbursement Compliance Issues in 2008: Preparing For OIG, Medicare Contractor, and RAC Audits," that took place in April 2008.
Attend to discover the coding, billing and reimbursement compliance issues identified by RAC audits and the OIG FY2008 Work Plan. Position your organization and resources to meet, or exceed, the top areas of enforcement. And take away tips and tools that you can immediately put to use.
Objectives of Session
- To Review the OIG Work Plan Issues for FY2008 and On-Going Issues From Past Years
- To Review The Establishment of the ‘Recovery Audit Contractor’ Program (RACs) and Current Audit Issues
- To Understand the Action Steps Necessary to Assure Compliance with Critical Issues
- To Delineate Specific Types of Audits That Should Be Conducted Internally by Hospitals, Clinics and Physicians
- To Appreciate the Need to Carefully Prepare For Eventual Audits and Payment Recovery
- To Understand the Need to Look Forward in Time to Identify Issues that Will be Audited in the Future
Agenda
- OIG FY2008 Work Plan
- New Topics For FY2008
- On-Going Issues – FY2004-FY2007
- CMS RAC Program
- MMA Section 306
- Objectives of the RAC Program
- Scope of RAC Program
- Current Issues For Hospitals, Physicians and Clinics
- Preparing For OIG, Medicare Contractor, and RAC Audits
- Identifying Vulnerable Areas
- Conducting Internal Audits In Anticipation of External Audits
- Making Changes in Coding and Billing Processes and Procedures
- Future Concerns
- Projecting Problem Area Identification
- Expansion of External Audits
- Sources for Further Information
- Question and Answer Session
Those with a general understanding of health care
compliance, OIG Work Plan and coding, billing and reimbursement:
Chief Compliance Officers, CBR Compliance Officers, Healthcare
Auditors, Healthcare Compliance Personnel, Chargemaster Coordinators,
Billing and Claims Generation Personnel, Patient Financial Management
Personnel, Cost Accounting Personnel, Cost Report Personnel, Financial
Analysts, Managed Care Contract Personnel, Revenue Enhancement
Personnel, Chief Financial Officers, Clinic Administrators/Managers,
Financial Planners, Internal Auditors, All Other Hospital and Clinic
Personnel Interested in Compliance
©2008 Health Resources Publishing