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Handouts - 2018 - Regional - Kansas City

Kansas City Regional Conference
September 21, 2018
Kansas City, KS

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Discussion of OIG Work Plan Priorities

Patrick J. Cogley, CPA, Regional Inspector General for Audit Services, HHS OIG-OAS, Region VII

  • Describe major ongoing OIG audits and evaluations
  • Discuss focus areas for the OIG in the upcoming years
  • Discuss changes to the OIG work planning process

Presentation (2 slides/page)
Presentation (3 slides/page)

A Strategic Approach to Physician Financial Arrangements

Susan Thomas, Consulting Manager, PYA
Shannon Sumner, CPA, CHC, Principal, PYA

  • Identify physician arrangement review goals and discuss importance of reviews.
  • Present critical components of physician contract compliance reviews.
  • Identify key contracting, documentation and compensation-related issues including specific “real world” examples.
  • Describe corrective actions and detail ongoing physician contract monitoring and “best practice” processes.

Presentation (2 slides/page)
Presentation (3 slides/page)

Handout (2 slides/page)

Current Trends in Data Privacy and Security Enforcement

Steve Mitchell, Regional Manager, HHS OCR Midwest Region
Iliana Peters, Shareholder, Polsinelli

  • Current trends in HIPAA enforcement, including lessons learned from settlement agreement cases and civil money penalties
  • Recent important guidance from OCR
  • Latest statistics on breaches reported to OCR
  • Phase 2 audit results

Presentation (2 slides/page)
Presentation (3 slides/page)

Denials Management and Revenue Integrity—Where Does Compliance Fall?

Diana Adams, RHIA, Independent Healthcare Auditor, RRA, Inc
​​​​​​​Kim Enriquez, RHIA, CCS, CHC, DRG Validation Specialist, OmniClaim

  • Defining denials management and revenue integrity
  • Identify and correct root causes of denials to keep the claims “clean”
  • Compliance- helping to reduce regulatory risk

Presentation (2 slides/page)
Presentation (3 slides/page)

CAHPS Compliance and Requirements in 2018

Kelsi Remmert, MHSA, Regional Patient Experience Advisor, Press Ganey Associates-Advisory Services

  • Current CAHPS survey requirements and a look at what’s to come
  • Dos and Don’ts when it comes to official CMS surveying
  • Patient anonymity for surveys: should it be honored?

Presentation (2 slides/page)
Presentation (3 slides/page)

Achieving Internal Efficiencies by Aligning Compliance, IT and Audit

Sam Abadir, Vice President, Industry Solutions

  • Internal Audit’s role as a third line of defense in an organization requires the highest level of independence and objectivity within the organization
  • Operationally, this often results in Audit working in silos from the rest of the organization and a misunderstanding of the relationship between Audit and other business functions
  • Technology and process improvements can now integrate and streamline the interactions between audit and the business functions making the internal audit less costly and more efficient while delivering higher value

Presentation (2 slides/page)
Presentation (3 slides/page)