Navigating Regulatory Waters: Utilizing Statistical Analysis for Risk Reduction and Compliance

Event Materials (Key Required)

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
• Explore how statistical analysis can be harnessed to mitigate risks and ensure compliance in various regulatory environment
• Develop Actionable Insights from data

Areas Covered in the Session

• Introduction to Healthcare Compliance and Risk Reduction
• Types of Payers Audits
• Purposes of Payer Audits
• Current audit targets of payers and regulatory agencies
• Compliance in various regulatory environment
• Leverage statistical techniques to maintain compliance and minimizing regulatory scrutiny
• Case studies and Practical Application
• Live Q&A Session

Suggested Attendees

• Physicians
• Physician Assistants
• Nurse Practitioners
• Certified Nurse Midwives
• Medical Coders
• Medical Billers
• Compliance Officers
• Hospital Administrators
• Practice Managers
• Revenue Cycle Staff
• Qualified Healthcare Providers

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).

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.

Purchase Order Form - Click Here to download PO form. 

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