Course Description

This session will provide insights into how statistical analysis can be applied to healthcare provider audits to minimize risks and ensure compliance with regulatory standards. Data analysis techniques specific to healthcare audits, identifying areas of potential risk, utilizing statistical models for auditing processes, and strategies for maintaining compliance with healthcare regulations will be covered. Participants can expect to learn how statistical analysis can enhance the efficiency and effectiveness of healthcare audits while reducing the likelihood of regulatory issues.

Learning Objectives

Identify Types and Purposes of Payer Audits
Understand What Payers Are Looking for In an Audit
Understand the Role of Predictive Analytics for Billing and Coding Audits
Identify Key Risk Areas
Understand How to Use Analytics in Your Compliance Plan
Develop Actionable Insights from data
Develop actionable insights from healthcare data to improve operations
Apply statistical techniques to reduce regulatory and financial risk
Use data analysis to monitor audit trends and adjust compliance strategies proactively

Areas Covered in the Session

Introduction to Healthcare Compliance and Risk Reduction
Identify current audit targets of payers and regulatory agencies
Explore how statistical analysis can be harnessed to mitigate risks and ensure compliance in various regulatory environment
How to leverage statistical techniques is essential to maintain compliance and minimizing regulatory scrutiny
Case studies and Practical Application
Live Q&A Session

Suggested Attendees

Physicians
Qualified Healthcare Providers – Physician Assistants, Nurse Practitioners, Certified Nurse Midwives, etc.
Compliance Officers
Coders
Billers
Administrators, Managers
Revenue Cycle Staff
Auditors (Internal and External)
Quality Improvement and Quality Assurance Staff
Healthcare Consultants
Clinical Documentation Improvement (CDI) Specialists
Risk Managers
Billing and Coding Managers/ Supervisors
Health Information Management (HIM) Professionals
Chief Medical Officers (CMOs)
Chief Financial Officers (CFOs)
Legal and Regulatory Affairs Staff
Insurance Specialists
Payer Relations Representatives
Data Analysts and Healthcare IT Specialists Focused on Compliance

About the Presenter

Pam D’Apuzzo, CPC, ACS‑EM, ACS‑MS, CPMA, is a Managing Director at VMG Health leading the Coding, Compliance, and Operational Excellence Management service line. She is a recognized leader and industry expert in coding and compliance. Pam’s 30-plus years of healthcare consulting experience spans academic medical centers, community hospitals, faculty practice plans, and large private practices.

A trusted adviser to New York’s leading healthcare institutions, she conducts educational and training seminars and provides comprehensive compliance programs. Pam also has a successful record of practice management services including operational and billing review, practice assessment, practice start-up assistance, and EMR implementation.

Pam is a frequent speaker at conferences sponsored by the American Academy of Professional Coders (AAPC), Health Financial Management Association (HFMA), New England Healthcare Internal Auditors (NEHIA), California Health Information Society (CHIA), New York State Society of Physician Assistants (NYSSPA), Suffolk County Medical Society (SCMS), and American Association of Gynecologic Laparoscopists (AAGL).

Additional Information:

After Registration: You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.

System Requirement:

Internet Speed: Preferably above 1 MBPS
Headset: Any decent headset and microphone which can be used to talk and hear clearly

Live Course Cancellation Policy: If for any reason Skillacquire need to cancel this program, Skillacquire will notify participants by email of the cancellation no less than 24 hours prior to the expected start time.

Can’t Listen Live?

No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience. For more information, you can reach out to the below contact:

Toll-Free No: 1-302-444-0162

Email: care@skillacquire.com

Address:- 651 N. Broad Street, Suite 206, Middletown, DE 19709

Testimonials:

"This program on HIPAA did a great job providing actionable concepts in a way that updated our team and me, I now know how I will implement the concepts because I already did it in their online seminar, it was easy to ask questions from the speaker at the end of my 60 minutes course"

Melissa Preston, Health Information Management Staff"David Vaughn covered the material completely and I have a new understanding of when, where and why we need to use an ABN"

Sandie Fowler, Out of Network Billing Staff"Great presentation. Able to do during the day. Timing was great"

Tina Duffy, Compliance Officer

All tickets include recording of the event.

Compliance by the Numbers: Statistical Analysis for Risk Reduction