The Government Accountability Office (GAO) was tasked in December 2008 to evaluate the Recovery Audit Contractor (RAC) demonstration program. The final report and recommendations were released on March 31, 2010. Kathleen King will present the key findings from the GAO study, in which CMS concurred in all of the GAO recommendations. In the interim, RAC has moved into national implementation mode, and a 14-month struggle to achieve national health reform finally culminated in the President signing the Patient Protection and Affordable Care Act (PPACA), H.R. 3590, and its companion Reconciliation bill, H.R. 4782. The PPACA significantly broadens the program integrity landscape, with among other things a new auditing authority in Medicare Part C and Part D, plus a new contingency audit program in Medicaid. Don May will present the concerns and comments of the hospital community on the national RAC implementation effort and the new audit activities to come under health reform.
Reclaiming the funds associated with improper payments is a critical component of the proper stewardship and protection of taxpayer dollars, and it underscores that waste, fraud, and abuse by entities receiving Federal payments will not be tolerated. ... One approach that has worked effectively is using professional and specialized auditors on a contingency basis, with their compensation tied to the identification of misspent funds.
Therefore, I hereby direct executive departments and agencies to expand their use of Payment Recapture Audits, to the extent permitted by law and where cost-effective.
President Barack Obama, Presidential Memorandum regarding "Finding and Recapturing Improper Payments," March 10, 2010.
What Is an Audioconference?
It is a live event that includes session handouts, an interactive question and answer period, and access for an unlimited number of participants at each call-in site. However, only one site can be offered per registration. It is impermissible for an organization to purchase one registration and to operate multiple sites through an internal telephone system. During the live Audioconference participants will be able to ask questions and make comments. The Audioconference faculty has agreed to take follow-up questions via email. Audioconferences are simple, accessible, cost effective and reach a broad audience locally.
Who Should Listen:
Physicians, Nurses, Pharmacists, Chief Executive Officers, Chief Operating Officers, Chief Information Officers and Chief Financial Officers, Privacy Officials, Security Officers, Compliance Officers, Legal Counsel, Patient Account Managers, Billing Staff and Information Services Staff.
All Faculty Materials will be Posted on the Healthcare Compliance Audioconference website: www.ComplianceAudioconferences.com/CA20100506 in downloadable PDF Formats.