Performing an OIG (Office of Inspector General) Excluded Provider Audit

This training on healthcare compliance will teach the attendees best practices for conducting a self audit of excluded providers. Learn how to prepare and conduct an audit to ensure compliance with this important mandate of Medicare 

Why Should You Attend:

The US Department of Health and Human Services, Office of Inspector General (OIG) has authority to exclude from participation in Medicare, Medicaid, and other Federal healthcare programs persons that have engaged in fraud or abuse. The OIG frequently updates its list of excluded parties and providers of healthcare services need to ensure they do not engage these excluded parties in their operations. Without a sufficient control environment to prevent it from happening, a provider runs the risk of employing an excluded party, purchasing goods or services from an excluded party, or render services to patients pursuant to orders from an excluded party. These situations may expose a provider to imposition of Federal Civil Monetary Penalties as well as assessment under the False Claims Act. All entities that bill Medicare, Medicaid and other Federal healthcare programs for services, as well as their Business Associates, should routinely audit their procedures to ensure they are able to bar excluded parties from their operations.

This webinar will help the attendees learn how to conduct a self audit of excluded providers.

Areas Covered in the Webinar:

• How to conduct a self audit of excluded providers
• Potential impact this risk area provides under current regulations
• Specific vulnerabilities that expose many providers to uncheck risks
• Best practices for screening against the excluded provider databases
• Developing a process to mitigate your risk

Who will Benefit:

This webinar will provide valuable assistance to any covered entity or business associate including hospitals, academic medical centers, business process outsourcers, system vendors, and billing services. The following job titles/positions will benefit:

• Compliance director
• Internal auditor
• CFO
• Human Resources Director
• Purchasing Director
• Office Manager

Instructor Profile:

Kevin McPoyle, CPA is the Director of Internal Audit & Compliance with Kennedy Health System of New Jersey. Mr. McPoyle is a healthcare audit and compliance specialist with over 20 years experience assisting healthcare providers, both large and small, with developing systems to ensure compliance, revenue integrity, and operational efficiency. He has presented at numerous conferences and seminars and he is the past president of the Metropolitan Philadelphia Chapter of the Healthcare Financial Management Association where he led extensive efforts to design and deliver exceptional professional education for the industry.