Watch This Webinar On-Demand
How to Use the OIG Hospital Audits to Prevent Overpayments in Your Organization
3.6 FREE CCB® CEU credits available with on-demand viewing of this webinar.
The OIG is continuing to perform focused audits on hospital claims. With access to billing data from thousands of hospitals, the OIG is performing data analytics as they choose which hospitals to audit and which specific services to audit.
In the four most recent hospital audits, the OIG estimated overpayments to each hospital of a whopping $13.5 million, $11.8 million, $4.4 million, and $389,000. Of course, they are recommending the hospitals return these funds. These audits usually focus on problem areas the OIG has identified in previous audits, and the universe of claims typically covers inpatient and outpatient services.
As far as causation is concerned, the OIG typically concludes, “these errors occurred primarily because the Hospital did not have adequate internal controls to prevent the incorrect billing of Medicare claims within the selected risk areas that contained errors.”
Luckily, it’s never too late to put adequate controls in place. How? Well, it might be easier than you think. One of the essential elements of an effective compliance program is auditing and monitoring. There are numerous ways to audit and monitor but using technology to perform these tasks can take your compliance program to the next level. It’s especially true when performing a risk analysis on a developed audit plan. In their guidance document on the evaluation of compliance programs, the U.S. Department of Justice asked:
Join our upcoming workshop, “How to Use the OIG Hospital Audits to Prevent Overpayments in Your Organization,” for two back-to-back webinars that will dive deep into the hospital audits and even demo software that you can use to prevent overpayments.
In this workshop, you will learn:
The Compliance Certification Board (CCB®) has approved this event for up to 3.6 live CCB CEUs based on a 150-minute hour. Continuing Education Units are awarded based on individual attendance records. Granting of prior approval in no way constitutes endorsement by CCB® of this event content or of the event sponsor.
Please Note: This event has NOT been approved for AAPC CEU credit.