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August Meeting - Compliance Plans
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8/14/2019
When: Wednesday, August 14, 2019
11:30 am - 1:00 pm
Where: Spazio Westport
12031 Lackland Rd.
St. Louis, Missouri  63146
United States
Contact: Dawn Mills, Administrator
3144999344


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Compliance Plans - Internal Auditing to Reduce Risk

Diane Robben, Sandberg Phoenix

Thank you to our sponsor!

  

Wednesday, August 14
11:30am - 1:00pm
Spazio Westport
12031 Lackland Rd. St. Louis, MO  63146
$35 Members / $45 Non-Members / $25 Students
No refunds for cancellations after Friday, August 9.

Developing a strong internal compliance program and auditing your risks can help reduce the possibility of significant fines and penalties from the federal government.  With over 2,000 employees in the field, the Office of Inspector General is committed to auditing, investigating and evaluating compliance with HHS rules to safeguard the integrity of the Medicare and Medicaid programs.  Through the use of education, civil monetary penalties and oversight responsibilities, the OIG seeks to improve the overall system.


Be prepared for any potential audit by evaluating your own internal policies and practices to identify areas where you are exposed to risk.  The OIG publishes a Work Plan every year that identifies the current focus areas of their investigations and the scope of the projects. This provides great insight into the hot areas where the government is looking.  For instance, learn the focus of outliers within Medicare Part A and B billing by providers and where there have been concerns of over payments. Identify the key areas of billing fraud being pursued and the fines being levied, as well as Corporate Integrity Agreements.  Furthermore, don’t forget about important human resources issues and privacy/security requirements under HIPAA/HITECH.


With regard to billing, auditing physician charges and billing practices may be burdensome, but will typically result in improved claims management processes, cash flow and compliance with applicable laws and regulations.  Annual audits can reveal specific coding issues that may recur in similar claims submissions. Correcting these problems before submission can safeguard against errors that could result in claim denial, and prevent patterns before the auditors identify them.

About the Speaker

 

Diane S. Robben is a Shareholder with Sandberg Phoenix and focuses her practice in the firm’s Health Law Practice Group. Diane leads the firm’s transactional and regulatory health care practice, devoting a significant amount of time advising hospitals, physicians, nursing homes and other healthcare providers on a variety of issues to find practical solutions to complicated legal problems. Read Full Bio

 

 

 

 

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Contact:

Greater St. Louis MGMA
314-499-9344
PO Box 16012, St. Louis, MO 63105