OIG Work Plan 2016: Trends, Reports and Issues

Event Information
Product Format
Prerecorded Event
90 minutes
Product Description

Hone Your Compliance Plans For 2016 with the Latest OIG Updates


The U.S Department of Health and Human Services (HHS) Office of Inspector General (OIG) Work Plan for fiscal year (FY) 2016 sums up new and ongoing activities that OIG plans to pursue during the fiscal year and beyond.

Join expert speaker Duane C. Abbey, Ph.D., in this informative session, where he will review the OIG Work Plan issues for hospitals, clinics and other health care providers, and FY2016 Work Plan issues are addressed in the context of OIG Work Plan issues from FY2011 through FY2015. Dr. Abbey will also discuss the pertinent reports issued by the OIG particularly in relation to established OIG issues.

Additionally, he will provide insights on associated RAC issues relative to current and anticipated trends.

This 90-minute session will give particular attention to identification of issues in the context of internal and external auditing to make certain that any OIG and RAC issues are adequately addressed by health care providers. For this workshop, the main concentration of issues will involve hospitals and facilities. Physician concerns involving hospitals will also be addressed.

Dr. Abbey will address the following questions:

  • Just what are these OIG Work Plans? Do hospitals and other healthcare providers need to be concerned?
  • Why do these work plans get longer and more involved each year?
  • Are there any trends issuances over OIG issues over the past several years?
  • Does the OIG issue any other reports?
  • 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?
  • Over the years are there any emerging trends in the issues addressed by the OIG Work Plans?
  • 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?

Session Objectives:

  • Understand The OIG Work Plan Process and appreciate the importance of the various reports issued by the OIG
  • Review issues for FY2016 and 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 hospitals, facilities and other health care 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
  • Trends relative to the OIG Work Plan issues
  • Action steps that should be taken by hospitals and other healthcare providers

Session Agenda:

  • Review The OIG Publications
    • Issuance of Work Plans
    • Issuance 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
  • FY2016 OIG Issues
    • Hospitals
    • Other Types of Healthcare Facilities
    • Overlapping Issues with Physicians and Clinics
  • Review FY2011 Through FY2015 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
  • 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 Health Care Providers
    • Hospital Concerns
    • Utilizing the OIG Work Plan As A Guide for Compliance
    • Other Related Health Care Provider Concerns
  • Review of Reports and Compliance Guidance Issued by the OIG
    • Hospitals
    • Clinics and Physicians
    • Other Health Care Providers
  • Sources for Further Information

Who should attend

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, Chief Financial Officers, Chief Compliance Officers, Financial Planners, All Other Hospital Personnel Interested in Compliance Issues

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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
More Events By The Speaker

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