Compliance Programming: OIG and DOJ Compliance Latest Guidance
Compliance Programs are required for healthcare organizations large and small. While one size does not fit all, we will address how to set-up and maintain a successful compliance program regardless of your organizational structure. We will cover the essential elements of the recently updated compliance program, OIG focused areas and practical ways to address compliance concerns. This is off the heels of the DOJ’s updated guidance issued regarding the DOJ’s Evaluation of Corporate Compliance Programs. The GCPG addresses applicable federal healthcare laws, the “seven elements” of a compliance program, adaptions for small and large entities, and other compliance considerations. Providers should evaluate their existing corporate compliance programs as it is clear that these are coming under increased scrutiny by the OIG and DOJ – especially where there is a compliance issue under investigation by an auditing agency.
Learning Objectives
Review the 7 Essential Elements of an Effective Compliance Program
Identify the Process Around Performing a Risk Assessment
Share Applicable OIG Initiatives that Impact Organizations
Include Internal Methods for Mitigating Risks and Addressing OIG Workplan Items
Explore the recent OIG guidance
Discuss DOJ review and expectations of healthcare providers
Review recent enforcement actions
Discuss future guidance
Areas Covered in the Session
Program Organizational Structure
Policies and Procedures
Investigation and Reporting Processes
Conducting a Risk Assessment
Utilizing Data Analytics
Auditing vs. Monitoring
OIG Workplan Monitoring
Hot Topics for Compliance Professionals
Live Q&A Session
Suggested Attendees
Healthcare CEOs, COOs and CFOs
Practice Administrators
Compliance Officers
Healthcare CPAs
Compliance Officer and Compliance Professionals
C-Suite Executives
Board Members
Clinical and Finance Leaders
Revenue Cycle Professionals
Auditors
Practice and Clinic Owners
Chief Quality Officers
Senior Internal Auditors
Directors of Compliance
Regulatory/ Risk Officers
About the Presenters
With over 25 years of healthcare experience, Rachel Pugliano, RHIT, CHC, assists clients with the improvement of their revenue cycle functions as well as maintaining compliance with government regulations. Her specific expertise is in the mid-cycle of the revenue cycle, which includes coding, documentation improvement, revenue integrity and charge capture. Rachel’s background includes compliance/risk assessments, compliance reviews for coding, billing and charge capture processes as well as overall workplan development. Rachel is a member of AHIMA and HCCA, and is on the board for the South Texas HFMA chapter serving as programs chair.
When working with Rachel, clients can expect a commonsense approach to solving revenue cycle challenges. Rachel will listen to the issues, validate with data, and uncover the root cause of the problem. She realizes that there is not a "one-size-fits-all" solution and that every organization is unique.
Additional Information
System Requirement:
Internet Speed: Preferably above 1 MBPS
Headset: Any decent headset and microphone which can be used to hear clearly
Live Course Cancellation Policy: If for any reason Skillacquire need to cancel this program, Skillacquire will notify participants by email of the cancellation no less than 24 hours prior to the expected start time.
For more information, you can reach out to the below contact:
Toll-Free No: 1-302-444-0162
Email: care@skillacquire.com