Creating an OIG Compliance Program

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About Course

Format: Live Webinar
Presenter: Lynn M. Anderanin, CPC, CPB, CPMA, CPC-I, CPPM, COSC
Event Date: 07/06/2023
Time: 3 pm ET | 2 pm CT | 1 pm MT | 12 pm PT
Duration: 60 minutes

Conference Materials (Password Required)
Based on the Affordable Care Act of 2010 any physicians that treat Medicare or Medicaid beneficiaries will be required to have a compliance plan.  Many offices are non-compliant and either do not have a plan, or have a plan but are not following it.  The Office of the Inspector General (OIG) created an outline of a compliance plan for group practices that any practice can use as an outline to build a compliance plan.  While this is an outline, there currently are no requirements that this has to be followed, but it is the best practice since the OIG oversees compliance.  We will review the 7 effective components of a compliance plan released by the OIG, and discuss how to create your plan using this information.  After the completion of a plan, it must be followed and executed.  A plan not followed is worse than not having a plan at all.  The compliance plan is always adjustable as long as all who must follow it are aware of changes that are made, and it really can be set up to meet the needs of any practice.  The current basics of auditing will also be discussed.

Learning Objective:

  • Understand the 7 components of a compliance plan
  • Realize what areas of your office should be included in the compliance plan
  • Build the compliance plan
  • Learn how to apply the plan, and follow the steps
  • Create compliance guidelines and goals that are obtainable
  • Know what training materials will work best
  • Confirm that the office understands the 2021 AMA E/M guidelines

Areas Covered in the Session

  • Review the good and bad of a successful compliance plan
  • Share the requirements of the Affordable Care Act for a compliance plan
  • Review E/M guidelines and documentation do’s and don’ts
  • Creating a follow-up process based on auditing results
  • Proven training materials providers needing help.
  • Live Q&A Session

Suggested Attendees

  • Billers
  • Coders
  • Administrators
  • Managers
  • Supervisors
  • Physician
  • Non-Physician providers
  • Qualified Healthcare Professionals
  • Compliance officers
  • Consultants
  • Claims adjusters
  • Case Managers

About the Presenter

Lynn M. Anderanin, CPC, CPB, CPMA, CPC-I, CPPM, COSC is the Sr. Coding Educator for Healthcare Information Services, a revenue cycle management and consulting service in the Chicagoland area. Prior to relocating to Chicago, Lynn was the Billing Office Manager and surgical coder for Hand Surgery Associates, now Michigan Surgery Specialists in the Detroit Area. She has over 39 years of experience in all areas of the physician practice including Practice Administrator, Billing Manager, and Director of Operations. Her experience is primarily in the specialties of Orthopaedics, Rheumatology, and Hematology/Oncology. She has been a speaker for many conferences, including the AAPC National Conferences and Workshops, Community Colleges, Audio Conferences, Certification classes, and Webinars. Lynn became a CPC in 1993, a Certified Instructor in 2002, and a Certified Orthopedic Surgery Coder in 2009, an examination in which she participated in creating. She passed the Certified Practice Manager exam in 2015, the Certified Medical Auditor exam in 2016, and the Certified Professional Biller exam in 2021. Lynn is the founder of the first local chapter of the AAPC in Chicago, which is now 25 years old, and a former member of the AAPC National Advisory Board as well as several other committees for the AAPC.

Course Content

You can access all the webinar materials after successful payment

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