Description

After this webinar attendees will be able to answer-

• What new audit and evaluation topics has OIG added to the Work Plan in 2026 that will report findings into fiscal year 2027

• Why the OIG Work Plan is a rolling, continuously updated document rather than a single annual release, and what that means for ongoing monitoring

• Which billing and coding areas carry the highest current audit risk, including E/M claims billed with modifier 25, chronic care management services, and Medicare Advantage risk adjustment coding

• How OIG is scrutinizing Medicare Advantage prior authorization denials for post-acute care and home health claims using institutional admission occurrence codes

• What telehealth, remote patient monitoring, and cross-state licensure issues remain under active OIG review heading into 2027

• How hospice, home health, and Medicaid provider termination reviews are shaping upcoming compliance obligations

• How to translate current Work Plan additions into a practical, documented internal audit plan before external reviewers arrive

Webinar details-

The HHS Office of Inspector General (OIG) no longer issues a single, dated annual Work Plan. Instead, the Work Plan is refreshed on a rolling basis throughout the year, and current entries explicitly state that projects are "underway or planned to be addressed during the fiscal year and beyond." In practical terms, this means many audits opened in 2026 will report their findings and recommendations into 2027, and OIG continues to add new fraud, waste, and abuse targets on an ongoing basis.

This webinar breaks down the most consequential 2026 Work Plan additions and explains what each one means for provider risk exposure heading into 2027, including:

• Medicare payments for clinical diagnostic laboratory tests, including the shift toward high-cost genetic testing

• NIH grant subrecipient oversight and monitoring gaps

• Medicare Advantage prior authorization denials for post-acute care services

• Home health claims billed with institutional admission occurrence codes 61 and 62

• Hospice payments for care furnished in nursing homes, and Medicaid payments to terminated providers

Attendees will leave with a clear picture of where OIG, CMS, and Medicare Administrative Contractors are focusing audit resources next, along with a practical framework for building or updating an internal audit and monitoring plan before external reviewers arrive.

This webinar benefits the following agencies-

• Compliance and Internal Audit Departments

• Revenue Cycle and Billing Departments

• Health Information Management (HIM)

• Legal and Risk Management

• Quality and Patient Safety

• Medicare Advantage Plan Compliance Units

Who should attend?

• Chief Compliance Officers

• Chief Executive Officers and Chief Financial Officers

• VPs and Directors of Compliance

• Compliance Auditors and Analysts

• Revenue Cycle Directors and Managers

• Health Information Management (HIM) Directors

• Coding and Billing Managers

• Practice Administrators and Office Managers

• Internal Auditors

• Healthcare Attorneys and Risk Managers

• Medicare Advantage Plan Compliance Staff