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        <i class="fa fa-user"></i> Toni Elhoms
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 * Healthcare Compliance Audits & Investigations - 2023 Updates


HEALTHCARE COMPLIANCE AUDITS & INVESTIGATIONS - 2023 UPDATES

February 02, 2023
60 Mins
Toni Elhoms


Broadcast $199.00

Broadcast + DVD $299.00

Broadcast + Transcript $299.00

Broadcast + DVD + Transcript $349.00

Broadcast + Digital Download $299.00

Flash Drive $199.00

Digital Download + Transcript $299.00

Digital Download $199.00

Transcript $199.00

Digital Download + DVD $299.00

DVD + Transcript $299.00

DVD $199.00


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Healthcare is a multi-trillion-dollar industry that remains highly regulated.
When organizations bill for services, they are reimbursed on a good-faith basis
with the expectation that clinical documentation supports the services reported
and regulatory compliance has been met. Every year the OIG releases their
respective work plan which highlights areas and services that represent high
priority audit targets during the upcoming year. It is important to stay aware
of these audit targets and use the work plan as a guide to mitigate compliance
risk. Healthcare compliance audits and investigations are occurring at
unprecedented rates. Gone are the days when the large hospitals and pricey DRGs
(diagnosis related groups) were the only targets on the radar for compliance
enforcement. Each year the OIG releases their respective work plan which
highlights areas and services that represent high priority audit targets during
the upcoming fiscal year. It is imperative for organizations to stay diligent
and apprised of these compliance initiatives and be especially proactive in
their compliance efforts, conduct regular audits of processes and clinical
documentation, and comply with the mandatory self-reporting requirements set
forth by the Affordable Care Act.

> Webinar Objectives

This webinar will cover the key governing authorities involved in healthcare
compliance, dissect various pathways involved in audits and investigations,
review the OIG work plan, spotlight current audit trends and audit targets,
identify relevant action protocols, discuss recent OIG advisory opinions,
identify elements of an effective compliance plan, and discuss actionable best
practice tips.

> Webinar Agenda

 * Understand the governing authorities involved in overseeing and enforcing
   healthcare compliance
 * Recall the role of the OIG Work Plan
 * Recognize current trends and OIG audit targets in healthcare compliance
 * Recall overpayment and voluntary refund protocols
 * Recognize when the OIG self-disclosure protocol may be appropriate
 * Understand relevant and recent OIG Advisory Opinions

> Webinar Highlights

 * Outline the governing authorities involved in overseeing and enforcing
   healthcare compliance
 * Review the various pathways involved in healthcare compliance audit and
   investigations
 * Discuss the role of the OIG Work Plan
 * Deconstruct current trends and OIG audit targets in healthcare compliance
 * Discuss fee-for-service payment methodology audit targets
 * Review risk-adjustment payment methodology audit targets
 * Define the process of audit error rate extrapolation
 * Identify key elements of an effective compliance plan based on the OIG
   framework
 * Review the overpayment and voluntary refund protocols
 * Discuss when the OIG self-disclosure protocol may be appropriate
 * Review relevant and recent OIG Advisory Opinions 
 * Discuss proactive compliance best practice tips

> Who Should Attend

 * Medical Coding Specialists
 * Medical Billing Specialists
 * Medical Auditing Specialists
 * Private Practice Physicians
 * Managed Care Professionals
 * Operations Leadership
 * Practice Administrators
 * Office Managers
 * Compliance Officers/Committees  
 * American Academy of Professional Coders
 * American Health Information Management Association
 * Medical Group Management Association
 * Health Care Compliance Association
 * Medical Associations

TONI ELHOMS



Toni Elhoms, CCS, CRC, CPC, AHIMA-Approved ICD10-CM/PCS Trainer is a nationally
known speaker and recognized subject matter expert on medical coding,
reimbursement, and revenue cycle management. She is the Founder and CEO of Alpha
Coding Experts, LLC. She holds multiple credentials with the American Health
Information Management Association (AHIMA) and the American Academy of
Professional Coders (AAPC). With over a decade of industry experience, she has
led and supported hospital systems, universities, physician practices, payers,
government agencies, and other entities on coding, billing, and compliance
initiatives. She is a frequent contributor to various…

Read More


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