2012 OIG Work Plan for Hospitals: Top Issues for Auditing
Product Description:
AUDIO CONFERENCE ON CD OR ON-DEMAND
Sponsored by: Medicare Boot Camp® Hospital Version
Presented on November 15, 2011
The Office of Inspector General (OIG) will soon release its 2012 Work Plan, giving hospitals an advance look at areas the OIG will focus on in the new year. Analysis of the annual OIG Work Plan represents a major component of any compliance program.
This 90-minute audio conference offers strategies for auditing and reviewing key risk areas identified in the Work Plan. Our expert panel walks you through this year's compliance hot-spots, offers effective tips to implement Work Plan information in your compliance agenda, and establishes steps to integrate Work Plan-related priorities throughout your facility.
Note: Listeners should have a general familiarity with OIG and the concept of the Work Plan and how it relates to their audits.
AT THE END OF THE PROGRAM YOU WILL BE ABLE TO:
- List the new items in the 2012 OIG Work Plan
- Conduct inpatient and outpatient audits to determine compliance with selective billing requirements
- Assign POA indicators accurately
- Communicate the operational issues associated with the three-day payment window
- Explain how observation services provided during outpatient visits can affect out-of-pocket expenses
AGENDA
- Overview of the changes in the 2012 OIG Work Plan
- Medicare inpatient and outpatient payments to acute care hospitals
- Review scope of OIG Audit Work Plan Issue
- Prepare for a Focused Claim Review
- Plan for an onsite OIG Interview
- Strengthen the compliance program
- Accuracy of present-on-admission (POA) indicators submitted on Medicare claims
- Correctly assign POA indicators
- Effect on reimbursement
- Evaluate the risk of not being accurate
- IPPS Hospital Payments for Outpatient Services: Operational Issues
- Outpatient services provided under arrangement
- Three-day payment window issues
- Billing and reimbursement risks
- Observation services during outpatient visits
- Increased patient financial liability
- Self-administered drugs
- Q&A
MEET THE SPEAKERS
Debbie Mackaman, RHIA, CHCO, is an instructor for HCPro’s Medicare Boot Camp®-Hospital Version and the Medicare Boot Camp®-Critical Access Hospital Version. She is a former hospital compliance officer and HIM director and has more than 20 years of experience in the healthcare industry, including both inpatient and outpatient Prospective Payment Systems (IPPS, OPPS) and Critical Access Hospital (CAH) compliance, coding, billing and reimbursement issues.
Stephen A. Miller, JD, is chief compliance and privacy officer for Capital Health System, Inc., a not-for-profit integrated healthcare delivery system based in Trenton, New Jersey. He administers a program that promotes system-wide compliance with all applicable laws and regulations, especially those related to Federal healthcare program participation, the use and disclosure of Protected Health Information and Federal and State tax-exempt status. He also directs Capital Health System’s internal audit function.
BONUS MATERIALS
In addition to the expertise and advice presented during this audio conference, you'll also receive a slide presentation of the program materials.
WHO SHOULD LISTEN?
Compliance officers, auditors, CEOs and CFOs, HIM managers and directors, finance directors, in-house counsel, chief medical officers, clinical service line administrators
AUDIO ON-DEMAND
Purchase a CD or an audio on-demand of the audio conference 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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