OVERVIEW

OIG: Trends, Reports and Issues: FY2019 is organized by Skillacquire and will be held on Mar 28, 2019.

Suggested Attendees:
• Clinic Managers
• Clinic Administrators
• Coding Personnel
• Billing and Claims Transaction Personnel
• Nursing Staff
• Clinical Service Area Personnel
• Chargemaster Coordinators
• Financial Analysts
• Compliance Personnel
• Physicians
• Non-Physician Practitioners
• Healthcare Auditors
• Other Interested Personnel

Description:
This webinar addresses a review of OIG Work Plan issues for hospitals, clinics and other health care providers with particular emphasis on coding, billing and reimbursement. FY2019 Work Plan issues are addressed in the context of OIG Work Plan issues from FY2014 through FY2018. Pertinent reports issued by the OIG are also discussed particularly in in relation to established OIG issues. Reports issued by the OIG relative to fraud and abuse relative to coding and billing are reviewed.

Session Objectives:
• To Understand The OIG Work Plan Process
• To Appreciate the Importance of the Various Reports Issued by the OIG
• To Review Issues for FY2019
• To Review Any Recent Reports Involving Fraud and Abuse
• To Understand the RAC Development and Approval of Issues
• To Identify OIG Trends For Issues and Their Relationship to RAC Issue Development
• To Identify Compliance Issues That Need To Be Addressed By Physicians, Hospitals, Facilities and Other Health Care Providers
• To Identify And Review Various Reports Issued By The OIG Relative To Audits And Studies Performed As A Part Of The OIG’s Work Plans
• To Assess Which Issues Will Develop and Eventually Be Investigated by the RACs and Other Federal Auditors
• To Look for Trends Relative to the OIG Work Plan Issues
• Action Steps That Should Be Taken By Hospitals and Other Healthcare Providers

Session Agenda:
• Associated RAC Audit Issues
? Current Categories of Issues
? OIG Issues Relative to RAC Audit Issues
? Anticipated Issues for the Future
?• Review Special Reports Issued by the OIG
? Relationship To Published OIG Work Plan Issues
? Outpatient Services to Inpatients at LTCH, IRFs, and IPFs
? Cost Outliers
? Three-Day Payment Window
? Health Record Incentive Overpayments
? Right Heart Catheterizations with Biopsies
? Cochlear Implants Overpayments
• Review FY2014 Through FY2018 Work Plans
? Trends in the Development of Work Plan Issues
? Issues Repeatedly Appearing in the Work Plans
• FY2019 OIG Issues
? Hospitals
? Physicians/Clinics
? Other Types of Healthcare Facilities
? Overlapping Issues with Physicians and Hospitals
• 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
• 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