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WHAT DOES OIG COMPLIANCE
PLAN 2014 MEAN FOR YOUR
PHYSICIAN BILLING OFFICE ?

Presented by Adam DenySmith
Are You The Right Spectator For
This Webcast ?




Does your medical billing
office deem that OIG’s
Strategic Plan 2014 is
obscure and creepy ?
Did you encounter scores of
impediments to espouse
federal
and
commercial
payer policies ?




Until 2013 suffered revenue loss
due to penalizations under payer
policy breaches ?
Then, this is your perfect
topography to instigate your
proactive plan for “ethically”
perking-up the cash flow in your
practice.
Understand – Scrutinize Optimize



Understand:
At
the
outset, it is very crucial for
the medical practices to
get acquainted with the
OIG’s Strategic Plan 2014
– their four goals and
priorities.


Scrutinize: Inspecting your
practice for the deficiency in
ethically
streamlined
medical billing is highly
imperative to prepare your
practice meet the OIG’s
Strategic Plan 2014.


Optimize: Once the lacunae are identified in your
medical billing process, you could set the ball rolling.



Then, periodical auditing, process improvement, skills
development, etc. must be done to ensure the highest
safety and profitability.



This plan stabilizes and saves the medical practices that
are apprehensive about the stringent federal policies and
shrunken reimbursements.
OIG’s Goals and Their Crux
1.To Fight against Fraud, Waste, and Abuse
 This is the critical mission of OIG to prevent,
spot, investigate and take necessary action
against the wrongdoers and improve the public
fund recovery.



2.To Promote Quality, Safety, and Value
This goal is set to enhance the value of federal
dollars by promoting public safety with
enhanced quality of care.
3 . To Secure the Future


This is a clear prospective goal
laid down to thwart the susceptibility
of long-term health and viability of
healthcare programs. The utilization
of electronic health records (EHRs)
to secure the healthcare data is one
of the imperative entities in this goal.
4.To Advance Excellence and
Innovation

This goal is chiefly fixed to
empower HHS’ own resources
like manpower, technology, etc.
and it has relatively low direct
impact on physicians.
Fair and Square Profit-making...




As a physician, you may be highly saddled
with the emerging healthcare management
and delivery systems, technology boom,
healthcare reforms, resource paucities, etc.
But, when it comes to the OIG’s legal arena –
no excuses! So, get set with the following vital
components to make your practice a cashcow.
Tips to thwart OIG’s noncompliance perils




Every physician must extract, understand and
follow all the OIG’s healthcare regulations so
that they needn’t run their practice ethically
adrift.
You could have CPCO (Certified Professional
Compliance Officer) and CPMA (Certified
Professional Medical Auditor) to formulate a
vivid medical billing protocol in sync with the
OIG’s medical billing regulations.




Regular internal audits must be conducted in
your practice to check end-to-end OIGcompliance.
Compliance could not be a one man show! So,
all the staff members in your practice must
undergo periodical staff development program
to keep an eye on the OIG-compliant process.
Conclusion








If you are a physician perplexed with the
healthcare reforms and payer guidelines with
respect to:
HIPAA Compliance
HITECH Act/ Meaningful EHR Use
ICD-10 testing & coding
Payer-specific billing
Ping BillingParadise @ 1-888-571-9069 for a
FREE-CONSULTATION !

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What Does OIG Compliance Plan 2014 Mean for Your Physician Billing Office?

  • 1. WHAT DOES OIG COMPLIANCE PLAN 2014 MEAN FOR YOUR PHYSICIAN BILLING OFFICE ? Presented by Adam DenySmith
  • 2. Are You The Right Spectator For This Webcast ?   Does your medical billing office deem that OIG’s Strategic Plan 2014 is obscure and creepy ? Did you encounter scores of impediments to espouse federal and commercial payer policies ?
  • 3.   Until 2013 suffered revenue loss due to penalizations under payer policy breaches ? Then, this is your perfect topography to instigate your proactive plan for “ethically” perking-up the cash flow in your practice.
  • 4. Understand – Scrutinize Optimize  Understand: At the outset, it is very crucial for the medical practices to get acquainted with the OIG’s Strategic Plan 2014 – their four goals and priorities.
  • 5.  Scrutinize: Inspecting your practice for the deficiency in ethically streamlined medical billing is highly imperative to prepare your practice meet the OIG’s Strategic Plan 2014.
  • 6.  Optimize: Once the lacunae are identified in your medical billing process, you could set the ball rolling.  Then, periodical auditing, process improvement, skills development, etc. must be done to ensure the highest safety and profitability.  This plan stabilizes and saves the medical practices that are apprehensive about the stringent federal policies and shrunken reimbursements.
  • 7. OIG’s Goals and Their Crux 1.To Fight against Fraud, Waste, and Abuse  This is the critical mission of OIG to prevent, spot, investigate and take necessary action against the wrongdoers and improve the public fund recovery.
  • 8.   2.To Promote Quality, Safety, and Value This goal is set to enhance the value of federal dollars by promoting public safety with enhanced quality of care.
  • 9. 3 . To Secure the Future  This is a clear prospective goal laid down to thwart the susceptibility of long-term health and viability of healthcare programs. The utilization of electronic health records (EHRs) to secure the healthcare data is one of the imperative entities in this goal.
  • 10. 4.To Advance Excellence and Innovation  This goal is chiefly fixed to empower HHS’ own resources like manpower, technology, etc. and it has relatively low direct impact on physicians.
  • 11. Fair and Square Profit-making...   As a physician, you may be highly saddled with the emerging healthcare management and delivery systems, technology boom, healthcare reforms, resource paucities, etc. But, when it comes to the OIG’s legal arena – no excuses! So, get set with the following vital components to make your practice a cashcow.
  • 12. Tips to thwart OIG’s noncompliance perils   Every physician must extract, understand and follow all the OIG’s healthcare regulations so that they needn’t run their practice ethically adrift. You could have CPCO (Certified Professional Compliance Officer) and CPMA (Certified Professional Medical Auditor) to formulate a vivid medical billing protocol in sync with the OIG’s medical billing regulations.
  • 13.   Regular internal audits must be conducted in your practice to check end-to-end OIGcompliance. Compliance could not be a one man show! So, all the staff members in your practice must undergo periodical staff development program to keep an eye on the OIG-compliant process.
  • 14. Conclusion      If you are a physician perplexed with the healthcare reforms and payer guidelines with respect to: HIPAA Compliance HITECH Act/ Meaningful EHR Use ICD-10 testing & coding Payer-specific billing Ping BillingParadise @ 1-888-571-9069 for a FREE-CONSULTATION !