Healthcare providers are facing an increasing burden of regulations and financial penalties and many are struggling to manage the host of legal and compliance obligations. With new healthcare reform regulations adding another layer of complexity, healthcare providers need to proactively manage compliance and better prepare for audits.
Participants of this webinar will gain new insights and better understand how to respond to audit requests and prepare for future program scrutiny.
- Understand the roles and current focus areas of today’s auditing entities (RAC, MAC, DOJ, OIG)
- Identify what your key audit issues are and develop different action plans including:
- Claims related audits, such as RAC, MAC
- Clinical audits, including medical necessity; technical and DRG guidelines
- Regulatory compliance audits- such as HIPAA, Privacy, FWA, OCR, Stark
- Organizational compliance audits: – internal risk rules, corporate integrity compliance
- Identify best practices and response strategies to follow after receiving an audit notification
- Create a list of key internal and external (counsel, consultants, etc.) constituents who should be actively engaged in all auditing matters
- Leverage new technologies to help senior executives enforce standards and consistency across the organization and automate compliance monitoring and process improvements
Who should attend
Hospitals/Health Systems
Chief Compliance Officer
Chief Information Officer
Chief Integrity Officer
Chief Legal Officer
Chief Supply Chain Officer
Presidents, Senior VP, VPs:
Audit/Internal Audit
Compliance
Contracting
Ethics
Finance
Integrity
Legal/council
Materials Management
Procurement
Purchasing
Regulatory Affairs
Supply Chain
Transformation