Audits In The Health Care Industry - Getting Ready for an Outside Audit
Overview:
You need to attend in order to control your own destiny. Get involved up front instead of being a "sitting duck".
More Audits are coming and government & private payers are increasing their budgets for increased audit activity around the health care provider industry. The Department of Justice is zeroing in on providers who are aberrant. Private insurance special investigations units are also gearing up and local prosecutors who are hungering for these types of prosecutions are all part of building machinery to eliminate fraud and abuse in the nation's health care system. The concern about the audit/investigative machine that has been developed should create horrendous concern for the health care provider community, because these entities will have to come up with results. Don't become one for their "results".
Areas Covered in the Session:
- Overview of audit risks
- 14 Strategies to tackling auditors: i.e.
- Appoint Audit Manager
- Appoint Audit Committee
- Proactively seek out info from audit visitors
- Respond quickly to audit visitor requests
- Identify On Site control person
- Provide strong support for onsite control person
- Onsite control person must be close to the visitors
- Audit committee to meet daily with visitors
- Respond quickly to early findings
- Request feedback from visitors
- Request Exit conference
- Carefully review preliminary findings
- Respond to final report
- Correct problem findings
Who Will Benefit:
- Health Care Professionals
- Health Service Providers
- Compliance Officers
- CEO's
- Corporate Attorneys