How Health Care Providers Can Manage Regulatory Risk and Protect the Bottom Line

In a recent study on emerging risks, 86% of health care industry respondents said the next critical risk for their organizations would stem from regulatory actions.

Since the enactment of the Affordable Care Act (ACA), health care providers have been increasingly subject to audit and enforcement actions from the Centers for Medicare and Medicaid Services (CMS). The focus of these efforts — to uncover incorrectly coded procedures that resulted in incorrect billing — is intended to recapture reimbursements for services rendered. The cost of losing these revenues plus the defense costs, fines, and penalties can be substantial. And since there is no time limit for records review, organizations may also be held liable for errors made by acquired providers.

On Tuesday, June 28, 2016, at 2 p.m.  (EDT), Marsh will hold a one-hour webcast, “How the Health Care Sector Can Manage Regulatory Risk and Protect the Bottom Line.”

Our panel of experts from Marsh, IronShore, and Healthcare Risk Assessment, will cover the challenges increased regulatory oversight of health care billing and reimbursement bring, issues to consider during a transaction that could impact future financials, and solutions available to create greater certainty.

Our panelists will:

• Address how audits and statutes can lead to significant fines and penalties resulting from alleged billing and coding errors, false claims, and kickbacks.
• Review recent enforcement actions and their overall impact on health care organizations.
• Introduce new representations and warranties and regulatory billing solutions that can reduce financial risks.

Register for the webcast.