A Tough Journey for Physicians 2014-2018 OIG Compliance Plan

Is your practice ready ?

Recently, Office of Inspector General (OIG) from the Department of Health & Human Services (HHS) has proposed a five year strategic plan 2014-2018 to streamline and improve the healthcare delivery process along with mitigated federal revenue spending. Thus, every physician billing office must be ready with a clear action plan to safeguard your practice from the negative repercussions of this strategic plan.

What’s the focus ?

This article guides the practices in clearing out the roadblocks that could arise from the OIG’s 2014-2018 Strategic Plan implementation.

Key Objectives:

1.  How to improve physicians’ understanding on goals and priorities of OIG’s Strategic Plan.

2.  How to prevent violations and bolster healthcare delivery based on OIG’s Strategic Plan.

Here is the presentation to adopt OIG Compliance guidelines for 2014 !

Are You The Right Spectator For This Webcast ?

• Does your billing office deem that OIG’s Strategic Plan 2014 is obscure and creepy  ?
• Did you encounter scores of impediments to espouse federal and commercial payer policies ?
• Until 2013 suffered revenue loss due to penalization under payer policy breaches?

          Then, this is your perfect topography to instigate your proactive plan for “ethically” perking-up the cash flow in your practice.

Understand – Scrutinize – Optimize

Understand: At the outset, it is very crucial for the medical practices to get acquainted with the OIG’s Strategic Plan 2014 – their four goals and priorities.

Scrutinize: Inspecting your practice for the deficiency in ethically streamlined medical billing is highly imperative to prepare your practice meet the OIG’s Strategic Plan 2014.

Optimize: Once the lacunae are identified in your medical billing process, you could set the ball rolling. Then, periodical auditing, process improvement, skills development, etc. must be done to ensure the highest safety and profitability.

This plan stabilizes and saves the medical practices that are apprehensive about the stringent federal policies and shrunken reimbursements.

OIG’s Goals and Their Crux

I – To Fight against Fraud, Waste, and Abuse

This is the critical mission of OIG to prevent, spot, investigate and take necessary action against the wrongdoers and improve the public fund recovery.

II – To Promote Quality, Safety, and Value

This goal is set to enhance the value of federal dollars by promoting public safety with enhanced quality of care.

III – To Secure the Future

          This is a clear prospective goal laid down to thwart the susceptibility of long-term health and viability of healthcare programs. The utilization of electronic health records (EHRs) to secure the healthcare data is one of the imperative entities in this goal.

IV – To Advance Excellence and Innovation

          This goal is chiefly fixed to empower HHS’ own resources like manpower, technology, etc. and it has relatively low direct impact on physicians.

Fair and Square Profit-making…

As a physician, you may be highly saddled with the emerging healthcare management and delivery systems, technology boom, healthcare reforms, resource paucities, etc. But, when it comes to the OIG’s legal arena – no excuses! So, get set with the following vital components to make your practice a cash-cow.

Tips to thwart OIG’s non-compliance perils

• Every physician must extract, understand and follow all the OIG’s healthcare regulations so that they needn’t run their practice ethically adrift.
• You could have CPCO (Certified Professional Compliance Officer) and CPMA (Certified Professional Medical Auditor) to formulate a vivid medical billing protocol in sync with the OIG’s medical billing regulations.
• Regular internal audits must be conducted in your practice to check end-to-end OIG-compliance.
• Compliance could not be a one man show! So, all the staff members in your practice must undergo periodical staff development program to keep an eye on the OIG-compliant process.