How sure are you that the care provided by your physicians today is truly medically necessary? How do you know?
If you don’t have clear answers to these questions, you could end up in the medical necessity hot seat, and that can get very costly, very fast. Join The Greeley Company’s CMO, Rick Sheff, MD and attorney Chad Eckhardt of Frost Brown Todd to learn what you need to do to avoid being the next hospital facing a tough Office of Inspector General (OIG) investigation.
You’ll learn about recent CMS/OIG settlements in the tens of millions that have hospitals and systems thinking twice about trusting the medical staff’s regular peer review process to adequately evaluate medical necessity and take proactive steps if/when self-reporting is warranted. Participants will understand the difference between what the OIG is looking for verse what medical staffs look for, when and how to use external peer review as a check and balance for your medical staff’s peer review, and what steps your organization can take to be more compliant and proactive.