This webinar will discuss the best practices of implementing auditing and monitoring as a part of your compliance program. The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) calls for auditing and monitoring as “an ongoing evaluation process (that) is critical to a successful compliance program” but does not define the differences. This webinar will teach the differences, roles and responsibilities and how to find compliance gaps and make sure that the compliance program is effective.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) and other regulatory bodies have made it clear that a compliance program must be demonstrated as being “fully effective.” Between January 1 and June 30, 2017, the DOJ announced $817 million in FCA (False Claims Act) recoveries from health care providers, putting it on pace to exceed the approximately $1.1 billion recovered from FCA settlements with providers in all of 2016. The OIG has noted that organizations should incorporate independent reviews and compliance program effectiveness evaluations to identify compliance gaps and evince that the compliance program is effective. Compliance Officers are expected to demonstrate that the compliance program covers all seven elements outlined by the OIG and that key metrics are tracked to prove compliance effectiveness. Attend this webinar to understand the differences between auditing and monitoring, roles and responsibilities, OIG work workplan risk areas and learn how to implement best practices through live case studies.
Pam Joslin, MM, CMC, CMIS, CMOM, CMCO, CEMA, CMCA-E/M, has more than 20 years of medical practice management, billing and coding, reimbursement, compliance and auditing experience. She is an engaging presenter via webinar, classroom and conference on various topics that may impact each step in the life of the revenue cycle of every practice. She has managed in medical practices ranging from single to multi-speciality groups, including ASC. She is an advocate of process improvement and maximizing and empowering employees to bring about the "best practice” results for your organization. She received her Master’s in Management from the University of Phoenix. Pam maintains memberships in professional organizations to support her continuing cycle of learning in the ever-changing healthcare industry. Pam is Owner and Operator of her own consulting business, Innovative Healthcare Consulting.