WW2022 - Hot Topics - COVID Update

Sean Weiss, CHC, CEMA, CMCO, CPMA, CPC-P, CPC Specialized Knowledge There is no doubt 2022 will be the year of the audit on steroids given how 2021 is finishing out! There's no shortage of audit and investigational agencies looking to throw their hat into the ring when it comes to generating recoupments. From Civil Investigative Demands to False Claims Act and Health Care Fraud Statute cases OIG and DOJ will continue to keep busy. The re-emergence of the TPE, CERT, RAC, SIU and UPIC programs ensures payers will continue the· "pay and chase" process. Some of the areas to be covered in this session include: • Privacy and Security for OCR; • Evaluation and Manage.ment Services; • Medical Necessity; • Incident-To Provisional Billing; • Sustained or High Error Rates; • Cloning and Clinical Plagiarism • Infusion Services with an Evaluation and Management Services and Application of 25 modifier