Compliance by the Numbers: Statistical Analysis for Risk Reduction and Compliance

Course Description

This session will provide insights into how statistical analysis can be applied to healthcare provider audits to minimize risks and ensure compliance with regulatory standards. Data analysis techniques specific to healthcare audits, identifying areas of potential risk, utilizing statistical models for auditing processes, and strategies for maintaining compliance with healthcare regulations will be covered. Participants can expect to learn how statistical analysis can enhance the efficiency and effectiveness of healthcare audits while reducing the likelihood of regulatory issues.

Learning Objectives

• Identify Types and Purposes of Payer Audits 
• Understand What Payers Are Looking for In an Audit 
• Understand the Role of Predictive Analytics for Billing and Coding Audits 
• Identify Key Risk Areas 
• Understand How to Use Analytics in Your Compliance Plan   
•  Develop Actionable Insights from data 
• Develop actionable insights from healthcare data to improve operations 
• Apply statistical techniques to reduce regulatory and financial risk 
• Use data analysis to monitor audit trends and adjust compliance strategies proactively 

Areas Covered in the Session

• Introduction to Healthcare Compliance and Risk Reduction 
• Identify current audit targets of payers and regulatory agencies
• Explore how statistical analysis can be harnessed to mitigate risks and ensure compliance in various regulatory environment
• How to leverage statistical techniques is essential to maintain compliance and minimizing regulatory scrutiny
• Case studies and Practical Application 
• Live Q&A Session

Suggested Attendees

• Physicians  
• Qualified Healthcare Providers – Physician Assistants, Nurse Practitioners, Certified Nurse Midwives, etc. 
• Compliance Officers 
• Coders   
• Billers   
• Administrators, Managers 
• Revenue Cycle Staff 
• Auditors (Internal and External) 
• Quality Improvement and Quality Assurance Staff 
• Healthcare Consultants 
• Clinical Documentation Improvement (CDI) Specialists 
• Risk Managers 
• Billing and Coding Managers/ Supervisors 
• Health Information Management (HIM) Professionals 
• Chief Medical Officers (CMOs) 
• Chief Financial Officers (CFOs) 
• Legal and Regulatory Affairs Staff 
• Insurance Specialists 
• Payer Relations Representatives 
• Data Analysts and Healthcare IT Specialists Focused on Compliance

About the Presenter

Pam D’Apuzzo, CPC, ACS‑EM, ACS‑MS, CPMA, is a Managing Director at VMG Health leading the Coding, Compliance, and Operational Excellence Management service line. She is a recognized leader and industry expert in coding and compliance. Pam’s 30-plus years of healthcare consulting experience spans academic medical centers, community hospitals, faculty practice plans, and large private practices.

A trusted adviser to New York’s leading healthcare institutions, she conducts educational and training seminars and provides comprehensive compliance programs. Pam also has a successful record of practice management services including operational and billing review, practice assessment, practice start-up assistance, and EMR implementation.

Pam is a frequent speaker at conferences sponsored by the American Academy of Professional Coders (AAPC), Health Financial Management Association (HFMA), New England Healthcare Internal Auditors (NEHIA), California Health Information Society (CHIA), New York State Society of Physician Assistants (NYSSPA), Suffolk County Medical Society (SCMS), and American Association of Gynecologic Laparoscopists (AAGL).

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Additional Information

After Registration: You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.

System Requirement:

• Internet Speed: Preferably above 1 MBPS
• Headset: Any decent headset and microphone which can be used to talk and 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.

Can’t Listen Live? No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience.

For more information, you can reach out to the below contact:

Toll-Free No: 1-302-444-0162

Email: care@skillacquire.com 

This is a Live Virtual session.

A new way of immersive learning that allows you to engage live with our instructor and peers providing you with the flexibility to juggle the new work-life balance.

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