The OIG’s 2023 Compliance Program Guidance places greater emphasis on establishing a risk assessment process and the proactive identification of risk. For many healthcare organizations, developing this assessment process and monitoring risk on an ongoing basis can be a challenge. In this session we will discuss how to put the OIG guidance into practice and share a case study outlining one organizations approach to aligning established practices alongside the opening of a new hospital and additional service lines.
Educational Objectives:
Understand the OIG expectations related to risk identification
Share examples of risk assessment processes and what to consider when determining the best approach for your organization
Walk through a risk assessment case study that applies the OIG framework and considers the nuances around the organization’s structure and resources
Identify key OIG focus areas and emerging compliance risks relevant to your organization
Develop practical steps to implement a structured risk assessment process
Learn methods for prioritizing and scoring risks to focus on the highest-impact areas
Explore monitoring, reporting, and documentation strategies to support ongoing compliance oversight
Apply lessons from real-world examples to enhance your organization’s risk management framework
Areas Covered in the Session:
OIG Risk Assessment Guidance and Introductio
Key Risk Assessment Components put into Practice
Implementation Steps
Tools and Best Practices
OIG Focus Areas
Case study: Applying the OIG framework during new hospital openings and service line expansion
Risk prioritization and scoring techniques
Monitoring, reporting, and documentation strategies
Common challenges and practical solutions for sustaining the risk assessment process
Integration of risk assessment results into compliance work plans and audits
Who Will Benefit:
Compliance Officers and Compliance Managers
Quality and Performance Improvement Leaders
Risk Management Professionals
Revenue Cycle Leadership
Internal Audit Professionals
Healthcare Executives and Administrators
Legal and Regulatory Affairs Staff
Board Members involved in compliance oversight
Rachel Pugliano, RHIT, CHC, CRCR
Rachel Pugliano, RHIT, CHC, CRCR | Director, Healthcare Consulting ,Rachel has over 25 years of experience focusing compliance programming and mid-cycle of the revenue cycle functions to include coding, compliance, documentation improvement, revenue integrity and charge capture. Rachel assists clients with the improvement of their revenue cycle functions as well as maintaining compliance with government regulations. Rachel assesses compliance programs for the organization as well as assists with the risk assessment process. She assists with development of coding compliance reviews and documentation...
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