Don’t Get Burned by OIG - SuperCoder Webinar

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Dont Get Burned by OIG
Speaker Nikki Taylor, MBA, CPC, COC, CPMA,
CRC
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Learning Objectives

• Get to know whats NEW at OIG and what that means
  for you
• Get the inside scoop on targeted billing errors
  found by CMS
• Including critical care visits, incorrect
  hospital visit billing, ESRD coding and more
• Gain practical advice on how to discuss
  government compliance with your providers
• Highlight helpful tools and resources to help
  ensure coding and billing compliance

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Whats New at OIG

• Office of Inspector General (OIG) Mission
• To protect the integrity of HHS programs
• Health and welfare of beneficiaries served by
  those programs
• Mission is carried out through nation-wide
  network of audits, investigations,
• and inspections conducted by
• Immediate Office of Inspector General
• Office of Audit Services
• Office of Evaluation and Inspections
• Office of Management and Policy
• Office of Investigations
• Office of Counsel to the Inspector General

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Whats New at OIG, cont.

• OIG Work Plan no longer in a large document
• All items for review are on found on an active
  work plan page
• Updated monthly to identify and respond to
  emergent issues
• Previously updated only once or twice a year

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Whats New at OIG, cont.

• Projects listed in the Work Plan span the
  Department and include
• Centers for Medicare Medicaid Services
• Centers for Disease Control and Prevention
• National Institutes of Health
• Administration for Children and Families
• Administration on Community Living
• Office of the Secretary of Health Human Services

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Whats New at OIG, cont.

• OIG provides independent and objective oversight
  that promotes
• Economy
• Efficiency
• Effectiveness
• OIG's program integrity and oversight activities
  adhere to professional standards established by
• Government Accountability Office
• Department of Justice
• Inspector General

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Whats New at OIG, cont.

• OIG assesses relative risks in HHS programs
• Audits and evaluations may be cancelled
• OIG considers projects to take based on
• Mandatory requirements
• Requests made or concerns raised by
• Congress
• HHS management
• Office of Management and Budget
• Top management and performance challenges facing
  HHS
• Work performed by other oversight organizations
• Management's actions to implement OIG
  recommendations from previous
• reviews and

• Potential for positive impact

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Whats New at OIG, cont.

• OIG's work portfolio includes legal and
  investigative activities
• Investigating Fraud, Waste and Abuse
• Facilitating Compliance
• Excluding offenders from participating

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Watch Out for Inpatient Billing

• Work plan agenda
• Assessing Inpatient Hospital Billing for Medicare
  Beneficiaries
• Added December 2018
• Office of Evaluation and Inspections
• Problems with upcoded visits

Read Download Full PPT Here https//www.supercod
er.com/medical-coding-webinars/dont-get-burned-by-
oig
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Medicare Compliance Reimbursement Newsletter

• Keep on top of Medicare rules and updates
• ICD-10
• Stark
• OIG reports
• MACRA
• Managed Care contracting
• And much more
• Stay out of the auditors crosshairs
• Twice a month

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Resources

• https//oig.hhs.gov/reports-and-publications/workp
  lan/active-item- table.asp
• https//www.cms.gov/Outreach-and-Education/Medicar
  e-Learning- Network-MLN/MLNProducts/MLN-Publicati
  ons.html
• https//oig.hhs.gov/about-oig/about-us/index.asp
• https//www.cms.gov/Outreach-and-Education/Medicar
  e-Learning- Network-MLN/MLNProducts/Downloads/Med
  QtrlyComp-Newsletter- MLN8893947.pdf
• https//www.cms.gov/Outreach-and-Education/Medicar
  e-Learning- Network-MLN/MLNProducts/Downloads/Med
  QtrlyComp-Newsletter-

MLN5862089.pdf
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Read Download Full PPT Here https//www.supercod
er.com/medical-coding-webinars/dont-get-burned-by-
oig
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