Physician Compliance Update 2017

Event Information
Product Format
Prerecorded Event
Elin Baklid-Kunz, MBA, CHC, CPC, CPMA, CCS
Conference Date
Thu, Jan 26, 2017
60 minutes
Product Description

Physician Compliance Updates and Key Targets to Prepare for 2017

The Department of Health & Human Services (HHS) Office of Inspector General (OIG) Plan is usually released each year in early October. However, this year, a Mid-Year Work Plan Update for fiscal year (FY) 2016, was released by the OIG, which summarizes new and ongoing activities and reviews that OIG plans to pursue.

OIG will continue putting their efforts in fighting fraud, abuse, and waste, under the “OIG Strategic Plan, 2014-2018.” The DOJ expects more individual accountability. For example, the DOJ, on Sept. 27, 2016, reported that Tuomey Healthcare’s former president and CEO will have to personally pay $1 million as he was involved in directing the company for entering into suspect physician arrangements, which led to a Stark settlement of $72 million. In addition to that, he has also been excluded from participation in any federal programs for four years.

In this session by expert speaker Elin Baklid-Kunz, MBA, CHC, CPC, CPMA, CCS, she will explain what providers can do to better prepare and minimize their audit risks as scrutiny intensifies and CMS error rates remain high. Elin will touch upon hot coding issues that every physician’s office needs to know. This information will help you avoid reduced payments, compliance issues, and ensure correct coding and payment the first time, every time.

Session Highlights

  • Best practices and strategies for minimizing your audit risk and improving compliance
  • Understanding how physicians get selected for an audit?
  • Compliance updates and key physician targets to prepare for in 2017
  • Expert documentation tips to ensure correct coding
  • OIG work plan update

Session Agenda:

  • Updates for Compliance
    • FY 2016 Recoveries and FY 2016 CERT Error Rates
    • DOJ Memo: Scrutinizing Individuals’ Role in Fraud
    • OIG Work Plan CMS 6 Major Parts
  • 2012 OIG Report: E/M- Trends in coding claims
  • Key physician audit targets
  • 2016 CERT improper payment rate categories
  • 2016 CERT: Problem E/M CPT codes
  • Medical Necessity: Overarching criterion
  • E/M Cloning -EHR
  • Inappropriate Use of Modifier -25
  • Resources available for compliance

Who Should Attend

  • Coding professionals
  • Billing specialist
  • Practice managers
  • HIM directors
  • Compliance officers
  • Case managers
  • 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...   More Info
More Events By The Speaker

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