OIG Work Plan: Trends, Reports and Issues for 2018

Event Information
Product Format
Prerecorded Event
90 minutes
Product Description

What’s in Store for Healthcare Providers and Facilities in 2018?

One of the most important compliance blueprints for healthcare providers and organizations every year, the OIG Work Plan lays out the audits, evaluations and other projects for the Centers for Medicare & Medicaid Services (CMS) and others that the HHS Office of Inspector General plans to conduct in the year ahead. If you understand the OIG’s work plan, you will know where to focus your attention when it comes to fraud and investigative activities of the federal government, and you can nip problems in the bud and avoid expensive and time-consuming audits.

Join this session, where expert speaker Duane C. Abbey, Ph.D., will review current and 2018 OIG Work Plan issues for hospitals, clinics and other health care providers with particular emphasis on coding, billing and reimbursement. Duane will address upcoming Work Plan issues in the context of those from FY2013 through FY2017, taking into account that the Work Plan is now updated monthly. The session will discuss pertinent reports issued by OIG, particularly in relation to established issues that the OIG is interested in.

Duane will also address associated RAC issues relative to current and anticipated trends and focus on identifying key issues in the context of internal and external auditing to make certain that providers can properly address any OIG and RAC issues. The session concentrates mainly on issues that involve hospitals and facilities but will also address physician concerns involving hospitals.

Session Objectives

This session will help you gain an understanding of:

  • The OIG Work Plan process
  • The importance of the various reports issued by the OIG
  • Issues for FY2018
  • The RAC development and approval of issues
  • OIG trends for issues and their relationship to RAC issue development
  • Compliance issues that need to be addressed by physicians, hospitals, facilities and other healthcare providers
  • Various reports issued by the OIG relative to audits and studies performed as a part of the OIG’s work plans
  • The issues that will likely develop and eventually be investigated by the RACs and other federal auditors
  • Trends relative to OIG Work Plan issues
  • The action steps that should be taken by hospitals and other healthcare providers

Session Highlights

  • What are OIG work plans?
  • What kind of reports are issued relative to these Work Plan issues
  • How the OIG studies are connected to the RACs and other federal auditing entities
  • Why hospitals and other healthcare providers need to be concerned
  • OIG reports and recommendations
  • Why these work plans get longer and more involved each year
  • Whether CMS always follows the OIG recommendations
  • Why there is such as emphasis on coding, billing and the False Claims Act
  • Emerging trends, over the years, in the issues that OIG work plans address
  • Trends in issuance of the work plans over the past several years
  • Where work plans and reports issued relative to the identified issues are accessed
  • What kinds of resources the OIG has
  • When the OIG Work Plan is issued each year
  • Does the OIG issue rule changed through the Federal Register

Session Agenda

  • Review the OIG publications
    • Issuance of work plans
    • Issuant 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
  • FY2018 OIG issues
    • Hospitals
    • Physicians/clinics
    • Other types of healthcare facilities
    • Overlapping issues with physicians and hospitals
  • Review FY2013 through FY2017 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 healthcare 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

  • Physicians
  • Non-physician practitioners
  • Clinic coding/billing personnel
  • Healthcare compliance personnel
  • Hospital charge master 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
  • Revenue cycle specialists
  • 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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