2023 Regulatory Compliance Updates – OIG, CMS & DOJ

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About Course

Format: Live Webinar
Presenter: Sean M. Weiss, CHC, CMCO, CPMA, CMPE, CPC-P, CPC, CMOM, CMC
Event Date: 07/27/2023
Time: 1 pm ET | 12 pm CT | 11 am MT | 10 am PT
Duration: 60 minutes

This session will focus on the top “target areas” for 2023 from the OIG/CMS. We will cover the False Claims Act, Split/Shared Services, Incident-to and Evaluation & Management services. We will also discuss the importance of practices having compliance programs.

Learning Objective:

  • Learn about the False Claims Act
  • Understand what Medical Necessity means
  • Understand the benefits of compliance programs and what is mandatory
  • Understand what is meant by cloning and how to avoid it

Areas Covered in the Session

  • False Claims Act
  • Voluntary Refunds
  • Medical Necessity
  • Split/Shared and Incident-to services
  • Cloning
  • Live Q&A session

Suggested Attendees

  • Medical providers, who are involved in the payment process of their practice
  • C-level executives
  • Office staff and Billing Managers
  • Medical Billing Companies
  • Hospital Revenue Cycle Staff
  • Physician
  • Nurses
  • Physician Assistants
  • Nurse Practitioners
  • Medical Assistants
  • Practice Manager
  • Office Managers
  • Billers
  • Coders
  • Auditors
  • CDI Specialists
  • Collection Staff
  • Front Desk
  • IT Specialists
  • HIPAA Privacy and Security officers.
  • Compliance Officers
  • Telemedicine System Vendors
  • Patient Accounts Personnel
  • Medical record supervisors
  • Health Information Management Administrators and Technicians
  • Other Personnel Interested in Billing Privileges with the Medicare Program

About the Presenter

Sean has dedicated his career to serving and advocating on behalf of healthcare providers, hospital networks, and integrated health systems to ensure a level playing field and due process. Over the past 27-years Sean has focused on helping organizations achieve measurable financial results to ensure stability in their market all while significantly reducing the risk of non-compliance. Sean’s knowledge of the inner workings of government agencies at both the state and federal level make him an invaluable asset to clients.

Sean leads the strategic litigation defense and audit team for DoctorsManagement, LLC. Sean is engaged by the largest and most revered law firms in the nation on matters tied to the False Claims Act and Health Care Fraud Statute cases to ensure the best possible defense for clients targeted by government agencies, their contractors, and commercial payer special investigative units.

Sean serves as a third-party Compliance Officer for numerous nationally recognized organizations across the country creating and ensuring a “Culture of Compliance” to mitigate risk and culpability.

Sean is a published author and the host of The Compliance Guy Podcast, the intersection where Compliance and the Business of Medicine meet… bringing to life regulatory compliance and health law-related issues, reaching tens of thousands of healthcare professionals weekly.

A sought-after healthcare speaker, Sean has an engaging, no-nonsense style and has delivered keynote addresses for countless professional societies and healthcare organizations. In his educational sessions, Sean presents workable solutions to the latest issues surrounding healthcare compliance, medical auditing, and practice and revenue cycle management. In May of 2021, Sean created The Compliance Guy Podcast©, bringing industry experts in the areas of operations, clinical, and legal together to ensure the highest level of learning and guidance to healthcare professionals.

Sean serves on boards of directors for both for-profit and non-profit organizations. He is a published author and a contributing author, and his written voice has reached tens of thousands of readers. His contributions to print and online publications (JAMA, Medical Economics, Part B News, BC Advantage, The Coding Edge, and MGMA Connections) cover a wide range of healthcare topics.

Course Content

You can access all the webinar materials after successful payment

  • Course Link
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