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Healthcare is a multi-trillion-dollar industry that remains highly regulated. When organizations bill for healthcare services, reimbursement is provided on a good-faith basis, with the expectation that clinical documentation accurately supports the services reported and that regulatory compliance is fully met. Each year, the Office of Inspector General (OIG) releases a work plan that highlights areas and services prioritized for audits in the upcoming fiscal year. This work plan is updated monthly, reflecting the most current high-risk areas.
To ensure compliance and avoid potential issues, it is crucial for organizations to remain vigilant and informed about these ongoing compliance initiatives. Proactively conducting regular audits of processes and clinical documentation is essential. Additionally, organizations must adhere to the mandatory self-reporting requirements established by the Affordable Care Act, which further reinforces the importance of maintaining compliance throughout all aspects of billing and documentation.
In this webinar, industry expert Toni Elhoms, CCS, CRC, CPC, AHIMA-Approved ICD10-CM/PCS Trainer, will cover essential aspects of healthcare compliance for 2025. The session will delve into the key governing authorities shaping healthcare regulations, explore the pathways involved in audits and investigations, and provide an in-depth review of the OIG work plan, including the most recent updates. Additionally, the webinar will spotlight current audit trends and targets for 2025, outline relevant action protocols, and share examples of the latest OIG advisory opinions. Participants will also learn about the critical elements of an effective compliance plan, based on the latest updates, and gain actionable best practice tips to ensure success in 2025 and beyond.
This webinar aims to empower healthcare professionals with an in-depth understanding of the evolving compliance requirements for 2025. Participants will gain insights into the latest Office of Inspector General (OIG) Work Plan updates, key audit trends, and the regulatory expectations that impact billing, documentation, and overall compliance strategies. Through expert guidance, attendees will learn how to navigate complex audit processes, implement robust compliance plans, and proactively address potential risks.
The session will also provide practical tools and best practices for maintaining compliance with governing authorities, ensuring that organizations can mitigate audit exposure, avoid penalties, and achieve operational excellence in a highly regulated healthcare environment.
