Physician Compliance Update for FY 2015-16

Event Information
Product Format
Prerecorded Event
Elin Baklid-Kunz, MBA, CHC, CPC, CPMA, CCS
Conference Date
Wed, Oct 14, 2015
60 minutes
Product Description

Get Strategies and Best Practices to Minimize Audit Risk & Improve Compliance!


The Department of Health & Human Services (HHS) Office of Inspector General (OIG) Plan is usually released each year in early October, however in 2015, the OIG released a Mid-Year updated Work Plan Update for fiscal year (FY) 2015, summarizing new and ongoing reviews and activities that OIG plans to pursue.

However, there is no doubt that the OIG will continue their efforts to Fight Fraud, Waste, and Abuse. According to the “OIG Strategic Plan, 2014-2018” and the FY 2014 HCFAC Program Report the Department of Justice (DOJ) recovered $2.3 billion from judgments and settlements due to health care fraud prevention and enforcement efforts. Another $3.3 billion in recoveries were paid to the federal government in 2014.

This session with expert speaker Elin Baklid-Kunz, MBA, CHC, CPC, CPMA, CCS, AHIMA-Approved ICD-10-CM/PCS Trainer, will prepare you for the increased audit activity in 2015-16 by the OIG and review the latest audit issues for physicians. It will address important issues such as reduced payments, increased government scrutiny and compliance challenges.

Plus, you will get handouts including documentation tips for common coding issues and a checklist for physician E/M services training.

Session Highlights:

  • Compliance update & key physician targets to prepare for in 2015-16
  • Review of high CMS error rates and intensification of scrutiny
  • Understand how physicians get selected for an audit?
  • Ensuring correct coding and payment the first time
  • Dealing with compliance challenges and reduced payments
  • Strategies & best practices to minimize your audit risk & improve compliance
  • Expert documentation tips to ensure correct coding
  • How to incorporate ICD-10 audits in your practice
  • Hot coding issues every physician office need to know
  • And more!

Session Agenda:

  • 2015 OIG Work Plan & OIG Reports
    • 7 Major parts of OIG Work Plan
    • FY 2015 OIG Work Plan Mid Year Update
    • E/M Trends in Coding Claims
    • Global Days and Payments


  • Key Physician audit targets
    • Medical Necessity: Overarching
    • CriterionDocumentation to Support
    • Electronic Medical Records (EMR): Potential Problems: “Cloning”
    • Modifier -25
  • Resources

Who should attend?

Coding professionals, billing specialist, practice managers, HIM directors, compliance officers, case managers and, physicians.

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

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About Our Speaker

Elin Baklid Kunz - Medical Billing Coding Expert

Elin Baklid-Kunz is an expert in medical coding compliance who supports clients in matter across the United States with over 20 years of experience in the field.

Ms. Kunz is a national speaker and published author. Recent speaking engagements include the 2018 European Symposium on Ethics and Governance in Paris for the Organization of Economic Cooperation and Development; American Bar Association 2018 Physician Legal Issues Conference,  2017 American...   More Info
More Events By The Speaker

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