The Compliance Playbook: Maximizing Submission Accuracy with OIG Logic
Join Episource to:
- Discuss the recent literature from the Office of Inspector General focused on integrity in diagnosis code submissions and impacts on coding in Medicare Advantage
- Learn the power of data analysis of medical and pharmacy claims for surfacing problematic diagnoses, and of NLP for evaluating these diagnoses
- Understand how to efficiently follow up on high-risk diagnosis codes in preparation for a potential future audit
Topics at a Glance
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Compliance
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Data & Analytics
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Risk Adjustment
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AI & NLP
Who Should Attend
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Compliance Leaders
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Risk Adjustment Leaders
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Healthcare Analytics Leaders
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Revenue Cycle Management Leaders
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Clinical Documentation Improvement Leaders
Top Reasons to Attend
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Gain insights into the latest Office of Inspector General (OIG) guidelines and their impact on coding for Medicare Advantage.
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Learn techniques for identifying high-risk diagnosis codes using advanced data analysis and NLP for efficient, audit-ready coding.
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Enhance your compliance strategy by understanding how to pinpoint compliance risks and streamline processes for a RADV audit.
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Engage with experts who will provide actionable insights and real-world applications of OIG methodologies to strengthen your risk adjustment practices.