2019 OIG Work Plan for Coding, Billing & Reimbursement

Event Information
Product Format
Prerecorded Event
90 minutes
Product Description

Find out What’s in Store for Healthcare Providers in 2019

For hospitals, clinics and other healthcare providers, each financial year brings with it a new set of challenges in the form of a new OIG (Office of Inspector General) Work Plan. These work plans are getting extensive—and therefore harder to comprehend—and more intrusive every year. As a healthcare provider, it is crucial that you understand the Work Plan so that you can comply with federal requirements and avoid penalties and legal complications.

This informative live audio conference by expert speaker Duane C. Abbey will walk you through the FY2019 OIG Work Plan issues for hospitals, clinics, and other healthcare providers, with special emphasis on coding, billing, and reimbursement. Abbey will address the FY2019 Work Plan issues in the context of OIG Work Plan issues from FY2014 through FY2018, and discuss reports issued by the OIG, particularly in relation to established OIG issues, as well as reports relating to fraud and abuse in coding and billing.

Abbey will bring you up to speed with associated RAC issues relative to current and anticipated trends, and identify key issues in the context of internal and external auditing to make sure that you can properly address all OIG and RAC issues. Abbey’s main focus will be on issues that involve hospitals and facilities, but he will also address physician concerns involving hospitals.

After attending this live audio session, you will be able to confidently answer questions such as: what are these OIG Work Plans; what kind of reports are issued relative to these Work Plan issues; do hospitals and other healthcare providers need to be concerned; why do these work plans get longer and more involved each year; why is there such as emphasis on coding, billing and the false claims act; are there any trends in issuance of the work plans over the past several years; what kinds of resources does the OIG have; how do the OIG studies fit into the RACs and other federal auditing entities; does anyone pay any attention to these OIG reports and recommendations; does CMS always follow the recommendations of the OIG; are there any emerging trends in the issues addressed by the OIG Work Plans over the years; where can I access these work plans and the reports that are issued relative to the identified issues; when is the OIG Work Plan supposed to be issued each year; does the OIG issue rule change through the Federal Register, and more!

Session Highlights

You will learn how to:

  • Understand the OIG work plan process
  • Appreciate the importance of the various reports issued by the OIG
  • Review issues for FY2019
  • Review any recent reports involving fraud and abuse
  • Understand the RAC development and approval of issues
  • Identify OIG trends for issues and their relationship to RAC issue development
  • Identify compliance issues that need to be addressed by physicians, hospitals, facilities and other healthcare providers
  • Identify and review various reports issued by the OIG relative to audits and studies performed as a part of the OIG’s work plans
  • Assess which issues will develop and eventually be investigated by the RACs and other federal auditors
  • Look for trends relative to the OIG work plan issues
  • Know what action steps should be taken by hospitals and other healthcare providers

Session Agenda

  • Review the OIG publications
    • Issuance of Work Plans
    • Issuant of reports relative to the Work Plans
    • Special reports
    • Corporate Integrity Agreements (CIAs)
  • Review the RAC process
    • Development and identification of issues
    • Gaining approval for issues
  • FY2019 OIG issues
    • Hospitals
    • Physicians/clinics
    • Other types of healthcare facilities
    • Overlapping issues with physicians and hospitals
  • Review FY2014 through FY2018 Work Plans
    • Trends in the development of Work Plan issues
    • Issues repeatedly appearing in the Work Plans
  • Review special reports issued by the OIG
    • Relationship to published OIG Work Plan issues
    • Outpatient services to inpatients at LTCH, IRFs, and IPFs
    • Cost outliers
    • Three-day payment window
    • Health record incentive overpayments
    • Right heart catheterizations with biopsies
    • Cochlear Implants Overpayments
  • Associated RAC Audit Issues
    • Current categories of issues
    • OIG issues relative to RAC audit issues
    • Anticipated issues for the future
  • Identification of Action Steps for healthcare providers
    • Hospital concerns
    • Utilizing the OIG Work Plan as a guide for compliance
    • Other related healthcare provider concerns
  • Review of reports and compliance guidance issued by the OIG
    • Hospitals
    • Clinics and physicians
    • Other healthcare providers
  • Sources for further information

Who Should Attend

  • Physicians
  • Non-physician practitioners
  • Clinic coding/billing personnel
  • Healthcare compliance personnel
  • Hospital chargemaster coordinators
  • Billing and claims generation personnel
  • Compliance personnel
  • Patient financial management personnel
  • Cost accounting personnel
  • Cost report personnel
  • Financial analysts
  • Managed care contract personnel
  • Revenue enhancement personnel
  • Revenue cycle specialists
  • Chief financial officers
  • Financial planners

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker. 

Order Below or Call 1-844-384-4744 Today

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About Our Speaker

Duane Abbey Hospital Coding & Compliance Expert

 Duane C. Abbey, Ph.D. is a management consultant and president of Abbey & Abbey, Consultants, Inc., which specializes in healthcare consulting and related areas. Duane earned his graduate degrees at the University of Notre Dame and Iowa State University and has more than 20 years of experience as a consultant. He performs various types of financial analysis involving business structuring, organizational development, enrolment and other financially related concerns of organizations....   More Info
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