- This session will briefly overview the 5 OIG healthcare risk areas, including the False Claims Act, Anti-kickback Statute, Civil and Monetary Penalties, Exclusions, and the Stark Law.
- Discover the areas commonly denied and at risk of violating the False Claims Act. This includes medical necessity of admissions and services, unbundling and improper coding and modifier assignment, double billing, billing for services not provided, upcoding, and billing non-covered services as provided.
- Walk away with resources available to identify what the OIG is targeting and internal resources that facilities can utilize to identify and mitigate hospital-specific risks.
- Learn about the factors to consider when determining the need to involve legal counsel.
Session Topics:
Revenue Cycle Management
Speaker(s):
Jill Sell-Kruse
Director, Compliance Risk & Oversight Ethics & Compliance
ScionHealth