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The Office of Inspector General (OIG) states, “[o]ne of the seven critical elements of a compliance program is ongoing auditing and monitoring.” The OIG has noted that organizations should incorporate independent reviews and compliance program effectiveness evaluations to identify compliance gaps and evince that the compliance program is effective. This course will review the distinct […]
Catherine Short speaks with Courtney Tito, Esq., Member of the Health Law group at McDonald Hopkins, LLC in its West Palm Beach office about “Payor Disputes and Audits: Observations & Strategies.” Our discussion will help listeners better understand the payor audit process and prepare the organization to respond. We will talk about the payor audit process from the government perspective and compare and contrast typical government audits with typical commercial audits. Finally, we will identify some best practices that providers can implement now to prepare for payor audits.
First Healthcare Compliance hosts Courtney Tito, Esq., Member, of McDonald Hopkins LLC, for an interactive discussion on “Payor Disputes and Audits: Observations & Strategies.” This presentation will help participants better understand the payor audit process and prepare the organization to respond. From recognizing the significance of initial correspondence, to responding effectively to initial and subsequent […]
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First Healthcare Compliance hosts Raymond Ribble, founder of SPHER Inc. and co-founder of Fusion Systems Co., Ltd., for an interactive discussion on “Surviving an OCR Audit.” An overview of what steps a Covered Entity and Business Associate must take to prepare their groups to respond to an OCR or external audit of their privacy and […]
Raymond Ribble, founder of SPHER Inc. and co-founder of Fusion Systems Co., Ltd. leads our webinar presentation. An overview of what steps a Covered Entity and Business Associate would take to prepare their groups to respond to an OCR or external Audit of their privacy and Security procedures. Objectives: 1. An introduction to the types […]
First Healthcare Compliance hosts Stephen Bittinger, Esq. of Nexsen Pruet, for an interactive discussion on “The New, Personal Audit Threat: Targeted Probe and Educate (TPE) Audits.” Attendees will learn about the new Medicare Administrative Contractor (MAC) Targeted Probe and Educate (TPE) audits and significant risks to not only reimbursement by provider’s Medicare credentialing and licensing. […]
Courtney Tito, Esq., Member of McDonald Hopkins, LLC presented the webinar “Payor Disputes and Audits: Observations & Strategies” recently and a recording can now be found on our YouTube Channel. Courtney returned to answer many commonly asked questions on our blog. Can you provide a brief overview of the Medicare appeals process for overpayment demands? […]
First Healthcare Compliance hosts Courtney Tito, Esq., Member, of McDonald Hopkins LLC, for an interactive discussion on “Payor Disputes and Audits: Observations & Strategies.” This presentation will help participants better understand the payor audit process and prepare the organization to respond. From recognizing the significance of initial correspondence, to responding effectively to initial and subsequent […]
