Data Mining: New Techniques to Go Beyond Internal Audits
Product Description:
Audio Conference on CD or Audio On-Demand
Sponsored by the Healthcare Audit Resource Center
presented on May 11, 2009
PROBLEM
If your facility had a higher rate of denied claims than others, would you be aware of it? Do you know which claims may be subject to review by your Medicare Administrative Contractor or the Recovery Audit Contractor? Your numbers might look great, but just one or two outlier claims patterns or physicians who are off the charts in terms of utilization rates can put you at risk of an audit and subsequent financial penalties.
SOLUTION
By employing data analytics, you can improve your facility's performance, as well as respond to potential problem areas that your traditional analysis wouldn't uncover. The government is already using data analytics to target providers, so it is in your best interest to review what they find and respond to potential risk areas before your facility gets audited.
LEARN FROM US
Listen to HCPro's 90-minute audio conference, Data Mining: New Techniques to Go Beyond Internal Audit with former Texas Inspector General Brian Flood (KPMG) and Compliance Officer Christine Bachrach (HealthSouth).
The speakers illustrate the benefits and cost-effectiveness of implementing data mining procedures in your facility. Discover practical strategies to create data dashboards and report cards so you can integrate analytics and enhance your compliance programs immediately.
LEARNING OBJECTIVES
At the conclusion of this audio conference, you will be able to:
- Describe what data mining entails
- Assess how to use data mining to improve business performance, and reduce risk
- Demonstrate how to begin basic analytics dashboards and reporting
- Formulate how to integrate analytics into compliance and quality programs to create and use data dashboards
TAKE A LOOK AT THE AGENDA:
- Data analysis/mining
- Government perspective
- Provider perspective The difference between auditing and data mining
- What to do with your data
- Compare your facility externally
- PEPPER reports
- OIG reports
- Compare your facility internally
- Benchmarking against yourself
- The merge between the two
- The importance of your electronic records
- How you can measure your own performance
- What the OIG is going to be looking for
- Examples of data mining processes
- Avoid spending a lot of money
- A question and answer session follows the presentation
MEET THE SPEAKERS
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| Brian Flood |
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| Christine Bachrach |
Brian Flood, National Managing Director, Forensic, Fraud, Integrity & Regulatory Risk Management, KPMG, LLP. Prior to joining KPMG, the Texas Governor appointed Mr. Flood as the Inspector General for the Health and Human Services Commission of Texas. Under his watch, the commission recovered or cost-avoided almost $3 billion for the State Health and Human Services System over four years. Previously, he was Chief of the Specialized Crime Division in the Dallas County District Attorney's Office, where he prosecuted white collar crimes.
Christine Bachrach, Chief Compliance Officer and Senior Vice President, HealthSouth. Ms. Bachrach is responsible for oversight of compliance for HealthSouth—the nation's largest provider of inpatient rehabilitation services—including development and implementation of new compliance-related programs to improve the effectiveness of the regulatory compliance program. She has established an enterprise methodology for regulatory compliance risk assessments, including integrating efforts from Sarbanes-Oxley requirements.
WHO SHOULD LISTEN?
- Compliance officers
- Healthcare auditors
- CFOs
- Clinical documentation specialists
- HIM directors
- Coding professionals
AUDIO ON-DEMAND
In addition to the regular purchase options for HCPro audio conferences, we are pleased to offer another option, audio on-demand. Audio on-demand allows you to download the program and play it back at your convenience through your computer or MP3 player. Purchase a CD or audio on-demand of the program and listen when you can. It's also a perfect training tool for new staff or as a refresher for veteran staff.
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