Accuracy of claims remains a top regulatory enforcement priority of the Office of Inspector General (OIG) in 2019
Corporate Integrity Agreements (CIAs) often include assignment of an Independent Review Organization (IRO) to conduct claims reviews to verify ongoing compliance with payor guidelines and assurance of effective billing and coding systems and internal controls.
Join SAI Global and the experts from Strategic Management on Thursday, December 6 at 2 PM EST for an overview of lessons learned from CIA claims reviews and how the proper compliance audits and documentation improvement initiatives can be beneficial in improving compliance and reducing risks and vulnerabilities.
- Claim volume and frequency of reviews
- Documentation of reviews
- Statistical and judgmental sampling
- Error rates and instances of deficiencies
- Medical necessity and appropriate documentation
- CMS Overpayment rule and extrapolation
Be sure to bring your questions, as there will be open Q&A at the end of the session.
“The Compliance Certification Board (CCB)® has approved this event for up to 1.2 CCB CEUs. Continuing Education Units are awarded based on individual attendance records. Granting of prior approval in no way constitutes endorsement by CCB of this event content or of the event sponsor.”