Strengthening compliance programs

Editor’s note: Amy Inch, COTA, CPC, CPMA, will present “Program Integrity: Impacts of Fraud, Waste, and Abuse Audits on Revenue Cycle” on day two of the 2024 Revenue Integrity Symposium, which will take place September 12–13 in Oak Brook, Illinois. Kung is the senior director of revenue integrity at Mayo Clinic. Learn more about the event by downloading the brochure. Use NAHRI’s justification letter template as a guide to gain your organization’s support for attending.

Q: What challenge does your session help address? How?

Inch: This session addresses the importance of developing strong compliance programs, ensuring minimal impact of program integrity audits to revenue cycle, through an understanding of CMS’ program integrity functions.

Q: What's one of the key pieces of information you would like people to take away from your session?

Inch: Program integrity audits and investigations are about finding the truth, not finding fraud. The purpose is to ensure payment accuracy to protect the Medicare Trust Fund. Understanding program integrity allows providers to strengthen revenue integrity.

Q: What are you most excited about for this year's conference?

Inch: I am looking forward to expanding my awareness of the revenue cycle challenges and solutions through the expertise and knowledge of speakers and attendees.

Q: What's a great piece of advice you like to give people about your session topic?

Inch: While CMS has a specific program integrity contractor, the work of ensuring program integrity belongs to everyone. Developing an understanding of program integrity contributes to the creation of strong compliance and internal auditing programs, allowing the provider community to assist in ensuring the accuracy of claims submission and reimbursement.