OIG Work Plan Update for Physicians

Event Information
Product Format
Prerecorded Event
Elin Baklid-Kunz, MBA, CHC, CPC, CPMA, CCS
60 Minutes
Product Description

Prepare for Compliance Updates & Key Physician Targets!

The Department of Health & Human Services (HHS) Office of Inspector General (OIG) Work Plan is usually released each year in early October; however this year the OIG Work Plan release was postponed until the beginning of the year. According to the HHS, "This change from the usual October release was done to align with the priorities that OIG has set for the current year, a time of continuing fiscal challenges."

However, there is no doubt that the OIG will continue their efforts to curb fraud, waste, and abuse, according to the "OIG Strategic Plan, 2014-2018" that was recently released

And on 20th December 2013, The Justice Department announced recoveries of $3.8 billion from settlements and judgments, from civil cases involving fraud against the government in the fiscal year ending Sept. 30, 2013.

Other significant OIG Reports released recently:

  • Reviews of Clinicians Associated With High Cumulative Payments Could Improve Medicare Program Integrity Efforts (A-01-11-00511) http://go.usa.gov/ZDaB
  • Not All Recommended Safeguards Have Been Implemented in Hospital EHR Technology OEI-01-11-00570

Participants will be able to:

  • Understand the Physician Targets in the OIG 2014 Work Plan (should be released in January 2014)
  • CMS Error Rates remain high & Scrutiny Intensifies
  • What can providers do to minimize their Audit Risk and be better prepared for the RACs?
  • Compliance, Reduced payments, Ensure correct coding and payment the first time
  • Why the increased OIG focus on high level EM Services
  • Understand hot coding issues every physician office need to know

Handouts will be provided on:

  • OIG 2014 Work Plan for Physicians
  • List of Must-Have Physician resources for coding compliance

Session Highlights:

  • Compliance Update & Key Physician Targets to Prepare for in 2014
  • Review 2013 OIG Reports
  • Review the 2014 OIG Work Plan for Physicians
  • E/M Risk Areas including EHRs and cloning
  • Strategies & Best Practices to Minimize Your Audit Risk
  • With expert Documentation tips to ensure correct coding

The speaker will answer your questions after the session to help you with the doubts and queries you may have.

Who should attend: Medical coding professionals, billing specialist, practice managers, HIM directors, compliance officers, case managers and physicians .

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About Our Speaker

Elin Baklid Kunz - Medical Billing Coding Expert


Kunz is a national speaker and published author on topics related to medical practice compliance, coding, reimbursement, chart audits and federal regulations. Her twenty years of healthcare experience includes six years as Director of Physician Services for a large health system, seven years in corporate finance and four years in compliance. She presents workshops for the American Academy of Professional Coders and delivers keynote presentations for Eli Research...   More Info
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