Want to know what the feds are up to? Are you curious about what OIG is targeting? Stay one step ahead of CMS and OIG and get the inside scoop on the top areas of focus. Instead of sifting through the OIG site, let us do it for you. Ensure that you’ll be ready if you get a request for an audit — Join Nikki Taylor, MBA, CPC®, COC™, CPMA®, CRC™ as she discusses OIG hot button issues and their current plan of focus. Plus—you’ll gain tips and resources to keep you one step ahead. Nikki will highlight what you need to know to ensure that you’re on the right path to compliance. During the webinar you’ll: Get to know what’s new at OIG and what that means for you Get the inside scoop on targeted billing errors found by CMS and learn how you can avoid them including critical care visits, incorrect hospital visit billing, ESRD coding and more Gain practical advice on how to discuss government compliance with your providers Highlight helpful tools and resources to help ensure coding and billing compliance

1. Don’t Get Burned by OIG
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Speaker: Nikki Taylor, MBA, CPC®, COC™, CPMA®, CRC™

2. • Get to know what’s NEWat OIGand what that means foryou
• Get the inside scoop on targeted billing errors found byCMS
• Including critical care visits, incorrect hospital visit billing, ESRDcoding and more…
• Gain practical advice on how to discussgovernment compliance with your
providers
• Highlight helpful tools and resources to help ensure coding andbilling
compliance
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Learning Objectives

3. • Office of Inspector General (OIG)Mission:
• Toprotect the integrity of HHSprograms
• Health and welfare of beneficiaries served by thoseprograms
• Mission is carried out through nation-wide network of audits, investigations,
and inspections conducted by:
• Immediate Office of InspectorGeneral
• Office of AuditServices
• Office of Evaluation andInspections
• Office of Management andPolicy
• Office of Investigations
• Office of Counselto theInspector General
What’s New at OIG
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5. • OIGWork Planno longer in alarge document
• All items for review are on found on an active work plan page
• Updated monthly to identify and respond toemergent issues
• Previously updated only once or twice ayear
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What’s New at OIG, cont.

6. • Projects listed in the Work Planspan the Department andinclude:
• Centers for Medicare & MedicaidServices
• Centers for DiseaseControl andPrevention
• National Institutes ofHealth
• Administration for Children andFamilies
• Administration on CommunityLiving
• Office of the Secretaryof Health & Human Services
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What’s New at OIG, cont.

7. • OIGprovides independent and objective oversight that promotes:
• Economy
• Efficiency
• Effectiveness
• OIG'sprogram integrity and oversight activities adhere to professional
standards established by:
• GovernmentAccountability Office
• Department of Justice
• Inspector General
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What’s New at OIG, cont.

8. • OIGassessesrelative risks in HHSprograms
• Audits and evaluations may be cancelled
• OIGconsiders projects to take basedon:
• Mandatory requirements
• Requests made or concerns raisedby
• Congress
• HHSmanagement
• Office of Management andBudget
• Topmanagement and performance challenges facing HHS
• Work performed by other oversightorganizations
• Management's actions to implement OIGrecommendations fromprevious
reviews; and
• Potential for positiveimpact
What’s New at OIG, cont.
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9. • OIG'swork portfolio includes legaland
investigative activities
• Investigating Fraud, WasteandAbuse
• Facilitating Compliance
• Excluding offenders from participating
What’s New at OIG, cont.
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10. Work plan agenda
• AssessingInpatient Hospital Billing for Medicare Beneficiaries
• Added December 2018
• Office of Evaluation andInspections
• Problems with upcodedvisits
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Watch Out for Inpatient Billing
https://www.supercoder.com/medical-coding-webinars/dont-get-burned-by-oig

11. Medicare Compliance & Reimbursement Newsletter
• Keepon top of Medicare rules andupdates
• ICD-10
• Stark
• OIGreports
• MACRA
• Managed Carecontracting
• And much more…
• Stayout of the auditors’crosshairs
• Twice a month
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13. • https://oig.hhs.gov/reports-and-publications/workplan/active-item-
table.asp
• https://www.cms.gov/Outreach-and-Education/Medicare-Learning-
Network-MLN/MLNProducts/MLN-Publications.html
• https://oig.hhs.gov/about-oig/about-us/index.asp
• https://www.cms.gov/Outreach-and-Education/Medicare-Learning-
Network-MLN/MLNProducts/Downloads/MedQtrlyComp-Newsletter-
MLN8893947.pdf
• https://www.cms.gov/Outreach-and-Education/Medicare-Learning-
Network-MLN/MLNProducts/Downloads/MedQtrlyComp-Newsletter-
MLN5862089.pdf
Resources
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https://www.supercoder.com/medical-coding-webinars/dont-get-burned-by-oig