Protiviti | 1.2 CPE | Deterring Fraud Waste and Abuse through Revenue Compliance Analytics
In an increasingly complex coding and billing regulatory environment, in which revenue cycle leaders must maintain an agile revenue cycle function while dealing with resource constraints, it is critical that revenue cycle and compliance leadership understand how to identify and proactively mitigate any potential coding and billing fraud waste and abuse. This webinar will outline what regulatory agencies consider fraud waste and abuse, what are common clinical documentation, coding and billing pitfalls that may pose a compliance risk to the organization and how to use data analytics to pinpoint these risks before the organization comes under scrutiny from enforcement agencies. Lastly, the webinar will outline tactics to ensure an effective audit function and how to guarantee that audits result in meaningful and sustainable changes in clinical documentation coding and billing patterns.
- Gain an understanding of what constitutes fraud waste and abuse for provider organizations and how it can occur within clinical documentation, coding and billing functions.
- Identify how data analytics can be used to identify aberrant billing patterns that may be associated with potential fraud, waste and abuse.
- Discuss how to use findings of targeted audit to enact change and mitigate any potential trends in incorrect or inaccurate clinical documentation coding and billing.