Sampling 101: A Primer for Internal and External Audits
April 14, 2015 - Fremont CA USMentorHealth
webinars@mentorhealth.com
Phone:8003851607
Fax:302-288-6884
Overview: In an extrapolation audit, CMS is very clear that you cannot challenge the basic premise for conducting the extrapolation; that is, that there is a 'high or sustained level of error'. As such, what you are left with is challenging the actual calculations involved in the overpayment estimates or the sampling methodology. And of these two, challenging the sample has the highest rate of success. Why is that? Because even CMS says that, in order to extrapolate, you must first begin with a valid random sample of some universe. And in the famous Chaves case, the judge says that extrapolation can be used as long as the sample is representative of some universe. So, randomness and representativeness are two sides of the same coin and in this session, Frank Cohen, statistician and compliance expert will flip that coin several times. Why should you attend: Attendees will get a basic understanding of basic definitions, the different types of sampling methods and how to identify potential problems with any audit. And for those that conduct internal coding reviews, Mr. Cohen will touch on methods you can employ to maximize efficiency and minimize risk. Areas Covered in the Session: Learn about the different types of sampling techniques Understand how to stratify a sample and when it is appropriate Know how to determine which sampling unit is the best for the situation Create your own sampling plan and samples for internal review Apply your sample to calculate your own internal extrapolation Learn how to defend yourself against poor sampling methods MentorHealth Roger Steven contact no: 8003851607 fax no: 302-288-6884 Event Link:http://bit.ly/1MtikXK webinars@mentorhealth.com www.mentorhealth.com