Oig PowerPoint PPT Presentations

Today’s webinar will cover the key governing authorities involved in healthcare compliance, dissect various pathways involved in audits and investigations, review the OIG 2024 work plan, spotlight 2024 audit trends and audit targets, identify relevant action protocols, discuss recent OIG advisory opinions, identify elements of an effective compliance plan, and discuss actionable best practice tips for success in 2024.

OIG Enforcement Initiatives Richard P. Kusserow Former DHHS Inspector General & President- Strategic Management Systems, Inc. (SMSInc) Fraud & Abuse Control Account ...

Don’t Get Burned by OIG - SuperCoder Webinar Want to know what the feds are up to? Are you curious about what OIG is targeting? Stay one step ahead of CMS and OIG and get the inside scoop on the top areas of focus. Instead of sifting through the OIG site, let us do it for you. Ensure that you’ll be ready if you get a request for an audit — Join Nikki Taylor, MBA, CPC®, COC™, CPMA®, CRC™ as she discusses OIG hot button issues and their current plan of focus. Plus—you’ll gain tips and resources to keep you one step ahead. Nikki will highlight what you need to know to ensure that you’re on the right path to compliance.

Posting models and/or business processes should be modified, as appropriate, to ... Agency Bill/Invoice with Remittance Advice. Check. Office of the Chief ...

Consultants can be paid for their time. Services must be legitimate ... Cannot pay for travel, lodging, personal expenses, physician's time. Modest hospitality OK ...

Is the law enforcement arm of the OIG, DoD. Has statutory law ... by conducting investigations in support of crucial National ... Espionage. Definition ...

Set standards for obtaining consistency and uniformity among Federal agencies in ... I-9 not sufficient unless you also use passport/State birth certificate) ...

OIG Slide Corrected on 62209 with CCCA Stats

... and D.C. Alaska Hawaii 1 $10,210 $12,770 $11,750 2 13,690 17,120 15,750 3 17,170 21,470 19,750 4 20,650 25,820 23,750 5 24,130 30,170 27,750 6 27,610 34,520 ...

Cost Sharing Certification Forms (where effort is being cost shared) ... an individual or PI does not certify for himself/herself, the expectation is ...

Health care providers are relying on billing companies to a greater degree in assisting them in processing claims in accordance with applicable statutes and regulations. Additionally, health care professionals are consulting with billing companies to provide timely and accurate advice with regard to reimbursement matters, as well as overall business decision-making.

Implementing the OIG Final Guidance for Pharma An audioconference co-sponsored by FDAnews and the Health Care Compliance Association Joseph W. Metro, J.D.,

Results: Assessing Vulnerability (cont. ... Results: OIG Vulnerability Assessment Working Trends ... Results: OIG Personnel Utilized for Vulnerability Assessments ...

... AHA, AHIMA, CMS, NCHS UHDDS Updated AHA Coding Clinics Compliance programs and OIG guidance Peer Review Organization Manual, section 4130 ...

... for example, Qadaffi which can ... aka critical fields list covers 200 scientific and technical fields In ... SOURCE: State OIG, Memo Report ISP-I-03-26 ...

Office of the Inspector General. Background. When was the OIG formed? Who does the OIG report to? ... Headed by the IG, John Parsons. ...

Appraisal Fraud & Flipping Trend Actions taken to combat fraudulent property flipping HUD makes certain frequently flipped properties ... 1,020 pending HUD-OIG ...

Anti-Kickback Statute 2021 webinar will focus on cases and enforcement actions taken by the HHS OIG and its law enforcement partners in 2021. We will also briefly review the Anti-Kickback Statute, discuss safe harbors, particularly the new proposed safe harbor for coordinated care and associated value-based arrangements, and OIG Advisory Opinions that have been issued in 2021, as well as pertinent cases involving the AKS.

Prepare hospital's OIG submission based on approved template ... Free drug eluting stents through multiple stent program. Lower access prices ...

'To improve the efficiency and effectiveness of the health care system ... Enforcement by investigating complaints. not HIPAA police force -- OCR not OIG for privacy. ...

HHS OIG Findings Current readiness training insufficient ... Consciousness of personal character. Interpersonal communication. Mental agility ...

Pamela Bailey. President, AdvaMed. Rationale for Code. Recognition of enforcement environment. ... OIG Compliance Guidance for Pharmaceutical Manufacturers and ...

Jeffery Peyton Office of Contracts Ohio Department of Transportation The USDOT OIG has identified DBE fraud as one of their top priorities. Increased oversight of the ...

Information Systems Security Association. Northern Virginia Chapter Benefits ... DoL, OPM, State, GSA, OIG, US Patent Office, FAA, FCC, Freddie Mac, NCIS, GMU, ...

Chicago HUD-OIG Representatives ... Chicago, indicted on six counts of making false statements, allegedly ... In the Chicago metropolitan area alone, over 500 ...

Cuando oig is noticias de guerras y de revoluciones, no teng is p nico. Porque eso tiene que ocurrir primero, pero el final no vendr en seguida.

Fair market value payments for reasonable, necessary, legitimate services ... Additional information is available on our website at http://oig.hhs.gov ...

Discuss the OIG Mission and Role in combating Fraud, Waste and Abuse. DOT ... Created by the ... Sub-Offices: Trenton, King of Prussia, Baltimore, ...

Under the Inspector General Act of 1978, OIG is responsible for preventing and ... and material weaknesses to be included in Yellow Book (A-133) report ...

... has recently added a jewel to their crown: The Children's Hospital at Montefiore. ... Elements of the OIG s Guidelines. for Compliance Programs ...

Lois Paul, Grants Management Specialist Corporation for National and Community Service ... OIG Pre-Audit Surveys/Audits of state commissions. Web Based ...

Debbie Vanarsdale. FFAS. Linda Smythe / Marsha Stevens. RD. Theresa Hollowell. RMA. Patti Byrd ... Tonya Allen-Shaw. FSIS. Robert Cooke. OIG. Janice Gaskin ...

Coding. Billing. National Program, former OIG process. CERT Contractors ... Subject to same Appeal process as Medical Review determinations. Two Reports ...

How to Operationalize the Guidance In A Pharmaceutical Company OIG Guidance Pharma Audioconference Doug Lankler May 21, 2003 Presentation Overview The Basics Beyond ...

... Enforcement From new joint DOJ/OIG website www.stopmedicarefraud.gov A joint effort by HHS and the Department of Justice ... New Millennium Risk Areas for ...

USDA/OIG-A/50401-51-FM. 11. Financial Management. Matrix. TASK: ... TASK: Execute Nightly Cycle. Responsible Party: Accounting Processing Branch (ACPRB) ...

De renforcer les capacit s travers des ateliers et des changes avec des experts internationaux (EDC, IRD, ONGs, OIGs,) D'alimenter un site web ...

Stay one step ahead of CMS and OIG and get the inside scoop on the top areas of focus for 2018. Ensure that you’ll be ready if you get a request for an audit — Join Nikki Taylor, MBA, CPC®, COC™, CPMA®, CRC™, AAPC Fellow as she discusses CMS hot button issues and OIG’s plan of focus for 2018. Plus—you’ll gain tips and resources to keep you one step ahead. Nikki will highlight what you need to know to ensure that you’re on the right path to compliance.

Ohio Instructional Grant Eligibility Query. Enhancements to OIG on the Higher ... More specific details on student's errors causing ineligibility to receive the grant ...

Describe the relevant issues surrounding the new ACCME policies ... FDA Final Guidance on CME. PhRMA Code Interactions with HCPs. OIG Compliance Program Guidance ...

Once Fiscal in your region migrates to ASC, FEMA codes will be set up at NIFC ... OIG DHS/FEMA Audited mission assignment funds awarded to FS ...

OST, WCF, OIG, FAA, FHWA, FTA, FRA, FMCSA, NHTSA, MARAD, PHMSA, RITA/BTS/Volpe, STB, SLSDC ... ESC using Service Oriented Architecture (SOA) technology ...

Tips from the Association of College & University Auditors. OIG Audits ... Newsday, January 9, 2006 ( Associated Press); Hartford Current, January 10, 2006 ...

... wide security program, defined by: Statutory ... Testing toolkit ... Encouraging broad OIG representation and involvement of other Federal entities in process ...

FAC reviewed detailed list of individual transactions on Credit Suisse Bank account in 2006 ... OIG report on audit of Credit Suisse bank account transactions ...

GAO Audit Results. The audit was ... Conducted nationwide through a web-based survey; 'live' in 5 States. Audit results are not finalized as yet. OIG Audit ...

State material due 30 days in advance of onsite. 3-4 CMS staff onsite for one week ... NM, NC, ND, OK, PA, PR, SC, SD, TN, TX, UT, VT, WY. OIG OEI Evaluation ...

With healthcare reforms, new and challenging medical guidelines and changing codes, compliance is becoming a major hurdle to patient care and revenue generation. Moreover, reimbursement for medical and radiation oncology is also under attack by CMS and other payers. In addition to this is the scrutiny by CMS and OIG related to intended or non-intended overpayments, which is all leading to increased costs and risks associated with oncology billing and coding services.

1. Implementing an Effective Compliance Plan in Response to a Medicare Audit webinar by SuperCoder explains in detail about government audits and what constitute a fool proof compliance plan. The webinar, which is presented by Candice Fenildo, CPC, CPMA, CPB, CENTC, CPC-I, is designed to help you jump over compliance potholes and ensure that your revenue is safe against financial setbacks. Some of the key points covered in the webinar include what is a medicare audit and why is it undertaken, what is health care fraud and how to avoid it, how to leverage OIG compliance guidance, how to create an effective compliance program, how to identify risk areas, when and how to perform chart audit, who all are involved in an audit, how to respond correctly to an audit request, and more. The webinar also features critical advice on how to make your practice audit proof and avoid coming under the compliance hammer.

Enforcement Trends in the Pharmaceutical Industry Lewis Morris Chief Counsel Office of Inspector General, DHHS Overview Review of OIG work related to Medicaid and ...

Generally, an ambulance provider waiving beneficiary cost-sharing obligations implicates the AKS and the beneficiary inducement CMP.

Generally, an ambulance provider waiving beneficiary cost-sharing obligations implicates the AKS and the beneficiary inducement CMP.

NATIONAL PHARMA AUDIOCONFERENCE ON FRAUD AND ABUSE ISSUES: MEDICAL DEVICE COMPANIES ... Examples of Harm to the Beneficiaries. Drug Use for Off-label Use ...

The Philadelphia Audit Story Presenters: Marcy Blender, CPA, Finance Office Joe D Alessandro, Office of Grant Development and Compliance Tara Feiner, Grant ...

Building Bridges to Success: Attacking Unemployment Insurance Fraud Tony Dixon, Director Division of Program Fraud U.S. Department of Labor Office of the Inspector ...

Title: Slide 1 Author: Joane Goodroe Last modified by: Suzanne Tyler Created Date: 1/22/2006 5:39:44 PM Document presentation format: On-screen Show