Compliance Programming: OIG and DOJ Compliance Latest Guidance

Event Materials (Key Required)

Course Description

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

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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