(Recorded Webinar) Part II: Preparing a Proactive Response
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Due to their participation in multiple federal healthcare programs (for example, Section 330 of the Public Health Service Act, Medicaid, and Medicare), health centers are subject to scrutiny from a number of different sources, including:
- HRSA’s Division of Financial Integrity
- Medicare Administrative Contractors (MACs)
- CMS’s Unified Program Integrity Contractors (UPIC)
- State Medicaid Fraud Control Units (MFCUs)
- Office of Inspector General (OIG)
In the event that your health center receives a notice of an audit or investigation, it is crucial to know where to begin in your response. When armed in advance with the knowledge of who should be involved in responding to an audit or investigation, the health center can do a better job of responding in an organized and thoughtful fashion.
Fortunately, there are a number of proactive steps you can take to minimize the potential of an audit or investigation taking place or for reducing their scope or duration. For example, establishing an “advance team,” reviewing billing policies and procedures, identifying common risk areas, and conducting self-audits.
This webinar will discuss these and other proactive steps your health center can take, addressing the appropriate division of labor (particularly among the legal and compliance functions) and the importance of tracking document requests.
To purchase the live version of this webinar or the live and on-demand package, click here.
Target Audience
- Finance and Billing Personnel
- Compliance Officers
- Legal/General Counsel
Learning Objectives
By the end of this session, you will be able to:
- Discuss key risk areas applicable to your organization and propose potential areas/topics for self audits
- Develop a self audit plan
- Identify teams responsible for self audit efforts and for responding to actual audits and investigations
- Update aspects of your compliance program
KATHY GHILADI
Kathy is a Partner in Feldesman Tucker’s health law practice group. In the area of health law, Kathy’s practice focuses on government-sponsored health care programs such as Medicaid, CHIP, Medicare, and the Affordable Care Act, with an emphasis on payment/reimbursement and compliance related issues. Kathy also represents clients in government investigations and audits, litigation before federal and state courts, as well as in administrative appeals with the U.S. Department of Health and Human Services Departmental Appeals Board (DAB) and Provider Reimbursement Review Board (PRRB). She provides reimbursement counseling (including identification, reporting, and repayment of overpayments) with respect to Medicare, Medicaid, and private third-party payors. [Full Bio]
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Read more about maintaining an attendance record in our FAQs.
Available Credit
- 1.00 Certificate of Attendance
Price
ACCESS PERIOD
Recorded webinars are available for 90 days after the date of purchase or date of the webinar. Once posted to your account, you can view this webinar anytime on-demand during the access period identified in your purchase confirmation. For additional information on viewing and accessing webinars, view our full terms and conditions here.
PAYMENT POLICY
If you pay by credit card or PayPal, you will be able to access the recorded webinar immediately (unless the live webinar has not yet occurred). If you pay by check, we will grant access to the recording when we receive your check. You will receive a confirmation email once access is granted. FTLF reserves the right to suspend access to the webinar if payment is not received within 30 days. For more information on payments and registration, please visit our FAQ page.
CANCELLATION POLICY
No refunds will be provided for recorded webinars. FTLF can transfer a registration to someone else within your organization or, provided you have not already viewed the webinar, transfer the registration to another on-demand program. Where the registration fee for the new webinar is higher, you must also pay the difference between the original course and the new course registration fee at the time of transfer. Administrative fees may also apply. If your organization purchased a webinar under the account of a staff member who no longer works for your organization, please Contact Us. View our full policy on refunds and cancellations here.
Required Hardware/Software
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