Medical Compliance Nina Tarnuzzer 2010

Medical Compliance Nina Tarnuzzer 2010 - Compliance 101: An...

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Click to edit Master subtitle style 7/19/11 Compliance 101 October 17, 2010 Nina W. Tarnuzzer, MHA,CPA,CPC Assistant Dean, Physician Billing Compliance University of Florida, College of Medicine Wednesday, November 10, 2010 Compliance 101: An Overview of
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7/19/11 Compliance 101 October 17, 2010 Disclosure These printed materials are not designed to cover all potential points that may appear in course examination materials . Wednesday, November 10,
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7/19/11 Compliance 101 October 17, 2010 Presentation Summary Fundamental programmatic elements Commitment, culture and organization Core elements of a program Key Challenges A rapidly changing environment Wednesday, November 10,
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7/19/11 Compliance 101 October 17, 2010 Why is Compliance a Hot Topic? Largest $$$ Federal Programs Largest $$$ State Programs Large organizations, large scale fraud and abuse Recoveries ($$Enforcement/$$ Recovery) Ratio is Excellent Wednesday, November 10,
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7/19/11 Compliance 101 October 17, 2010 Wednesday, November 10,
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7/19/11 Compliance 101 October 17, 2010 National Health Care Spending National health spending is expected to reach $2.5 trillion in 2009, accounting for 17.6 percent of the gross domestic product (GDP). By 2018, national health care expenditures are expected to reach $4.4 trillion—more than double 2007 spending.1 National health expenditures are expected to increase faster than the growth in GDP: between 2008 and 2018, the average increase in national Wednesday, November 10,
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7/19/11 Compliance 101 October 17, 2010 In just three years, the Medicare and Medicaid programs will account for 50 percent of all national health spending. 1 Medicare's Hospital Insurance (HI) Trust Fund is expected to pay out more in hospital benefits and other expenditures this year than it receives in taxes and other dedicated revenues. In addition, the Medicare Supplementary Medical Insurance (SMI) Trust Fund that pays for physician services and the prescription drug benefit will continue to require general revenue financing and charges on Wednesday, November 10,
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7/19/11 Compliance 101 October 17, 2010 The average employer-sponsored premium for a family of four costs close to $13,400 a year, and the employee foots about 27 percent of this cost.4 Health insurance costs are the fastest growing expense for employers. Employer health insurance costs overtook profits in 2008, and the gap grows steadily Employees have seen their share of job-based coverage increase at nearly the same rate during Wednesday, November 10,
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7/19/11 Compliance 101 October 17, 2010 Alan Yuspeh, JD , Sr VP Ethics, Compliance and Corporate Responsibility Fundamentally, an ethics and compliance program has two purposes: to ensure that all individuals in an organization observe pertinent laws and regulations in their work; and to articulate a broader set of aspirational ethical standards that are well-understood
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Medical Compliance Nina Tarnuzzer 2010 - Compliance 101: An...

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