Compliance expert Michael Calahan has been scrutinizing the payer and regulatory landscape and is prepared to share his findings of likely 2021 compliance targets. He’ll also layout best practices that will help you prepare for or, better yet, avoid audits.
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The year 2020 brought a financial crisis to hospitals, clinics, and health systems. Now, with 2021 upon us, the last thing your organization needs is adverse audit action in the form of payment recoupment and fines. Unfortunately, you can be sure that the auditors — OIG, RACs, CERTs, ZPICs, MACs, and others — will be on the prowl, looking for violations of federal rules and regulations.
Because the compliance risks change from year to year, you need to know what the auditors are targeting in 2021. Compliance expert Michael Calahan has been scrutinizing the payer and regulatory landscape and, in this RACmonitor webcast, is prepared to share his findings of likely 2021 federal targets. He’ll also layout best practices that will help you prepare for or, ideally, avoid audits.
Michael’s “top 10 plus one” areas of compliance targets will cover a broad spectrum of inpatient and outpatient services, as well as specific treatment arenas, such as cath lab, radiation oncology, short-stay admissions, observation services, and COVID-19 units. Also addressed will be potential compliance issues related to the overhaul of evaluation and management (E&M) documentation and coding guidelines for physician office visits.
Why This Is Relevant:
Healthcare organizations have taken a big financial hit as a result of the public health emergency related to COVID-19. Even so, expect to see a full-scale resumption of auditor actions against providers that don’t comply with current rules and regulations. This RACmonitor webcast will arm you with a clear understanding of what the auditors are targeting in 2021 and steps you should take to protect your revenue stream.
Who Should Attend:
C-suite executives and physicians, plus staff in legal, compliance, auditing, HIM, billing, CDI, patient financial services, case management, quality assurance/improvement, utilization review and corporate responsibility, across the inpatient and outpatient settings.
As Vice President of Hospital and Physician Compliance at HealthCare Consulting Solutions (HCS), Michael G. Calahan, PA, MBA, provides subject matter expertise and consulting services. He has been a speaker for MedLearn for nearly 10 years and has provided webinars on device credit reporting since 2013.
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