Recorded Series: Government Audits & Investigations for Health Centers

Webinars included in this course:

(Recorded Webinar) Part I: Who's Who in Enforcement Agencies

In an era in which program integrity and the reduction of waste, fraud, and abuse have become increasingly a focus, it is important for health centers to familiarize themselves with the various government entities that conduct audits and investigations and their scope.

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, such as:

  • 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) 

While significant overlap exists between and among these entities, each has their own separate mission and motivation. In this webinar, we will introduce those entities, offer context to their roles, and explain their respective missions. This session will also highlight common risk areas for health centers that have arisen in the past in order to assist with a health center’s ongoing development of a compliance program and self-audit efforts.

Learning Objectives

By the end of Part I, you will be able to:

  • Identify which Government entities are typically involved in health center audits and investigations and understand their respective missions.
  • Discuss common risk areas for health centers that have been subject to audits and investigations in the past.
  • Update aspects of your compliance program and/or self audit efforts based on the identified common risk areas.

(Recorded Webinar) Part II: Preparing a Proactive Response

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.

Learning Objectives

By the end of Part II, 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

To purchase the live series or the live and on-demand package, click here

Target Audience

  • Finance and Billing Personnel
  • Compliance Officers
  • Legal/General Counsel
Course summary
Course opens: 
03/01/2019
Course expires: 
04/25/2021
Cost:
$400.00

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]

Certificates of Attendance are available for all webinars (both live and recorded) for the registered attendee upon completion of the webinar.

blank Certificate of Attendance will be available for organizations to issue to attendees that viewed the webinar (either live or on-demand). Due to the online nature of the training course, Feldesman Tucker Leifer Fidell LLP does not certify that the attendee actually viewed the course. A supervisor at the organization should sign the certificate, and therefore, certifies that the attendee viewed the course.

Attendance record forms are available for all webinars (live and on-demand) and can be utilized to record the attendance of numerous staff members for internal purposes.

Read more about maintaining an attendance record in our FAQs.

Available Credit

Accreditation Period

Course opens: 
03/01/2019
Course expires: 
04/25/2021
 
Status
Price
Title
$225.00Included
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$225.00Included
Please login or register to take this course.

Price

Cost:
$400.00
Please login or register to take this course.

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.

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