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The OIG 2017 Workplan - Risk Areas for Everyone

Presenter Michael D Miscoe, Esq, CPC, CPCO, CPMA, CASCC, CCPC, CUC
Broadcast Date 1/11/2017
Time 10:00am PT / 11:00am MT / 12:00pm CT / 1:00pm ET
Presentation Length 60 minutes
Price $65 (Non-members $85)
The OIG 2017 Workplan - Risk Areas for Everyone Webinar

Understanding the Office of Inspector General's (OIG) focus areas for its enforcement efforts will assist you with tailoring your compliance program pertaining to education and internal auditing, ensuring your practice does not become a post payment statistic. Additionally, it will assist with structuring internal audit programs so you can find, correct, and where necessary, disclose errors in advance of any OIG or Integrity Contractor inquiry. You will learn the new and ongoing target areas applicable to Medicare Part A and B that have been selected for elevated enforcement for 2017. You will also learn about new target areas. These will be specifically discussed to permit appropriate risk analysis and will be provided with recommendations for assessing and reducing post-payment risk associated with OIG target areas.

Why is this topic important?
Durable Medical Equipment (DME) continues to be a target for fraud, waste, and abuse. Providers, entities, and suppliers do not always understand the importance of diagnoses, place of service, coding criteria for billing, and supporting DME purchased and/or ordered.

Who would benefit from this topic?
All medical offices, entities, coders, DME suppliers or anyone who handles or audits DME.

How would this benefit the individual and/or their company?
Keeping current with DME coding rules and changes can help keep facilities from being a target as an outlier for audits.

What information or new skills will the attendee take away from this webinar?
2017 changes to DME, documentation checklists, provider responsibility, supplier responsibility the rules have and are continuing to change.

Why are you the expert on this topic?
I work for a payor and DME is a huge target across the board. I love DME and want everyone to understand that DME is easy to understand. The guidelines are there and keeping your practice up-to-date on these guidelines and changes can keep you off the radar from OIG entities, payor audits, etc.

Michael D Miscoe, Esq, CPC, CPCO, CPMA, CASCC, CCPC, CUC

About The Author

Michael D Miscoe, Esq, CPC, CPCO, CPMA, CASCC, CCPC, CUC

Mr. Miscoe has a bachelors of science degree from the United States Military Academy, a juris doctorate degree from Concord Law School, is a Certified Professional Coder, Certified Ambulatory Surgical Coder, Certified Urology Coder, Certified Chiropractic Professional Coder, Certified Professional Compliance Officer, Certified Professional Medical Auditor, the President of Practice Masters, Inc., and the founding partner of Miscoe Health Law, LLC.  He is the President Elect of the AAPC National Advisory Board, is a member of the AAPC Legal Advisory Board and is the Chair of the AAPC Ethics Committee. He is admitted to the practice of law in California as well as to the bar of the United States Supreme Court and the US District Courts in the Southern District of California and the Western District of Pennsylvania.

Mr. Miscoe has over twenty years of experience in healthcare coding and over sixteen years as a compliance expert, forensic coding expert and consultant.  He has provided expert analysis and testimony on a wide range of coding and compliance issues in civil and criminal cases and his law practice concentrates exclusively on representation of healthcare providers in post-payment audits as well as with responding to investigations pertaining to HIPAA issues by the HHS Office of Civil Rights. He has an extensive national speaking background and has been published in numerous national publications on a variety of coding, compliance and health law topics. 

 

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