NPHI Presents on How to Use Data in your Auditing Monitoring Program (6.10.21)

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NPHI Presents on How to Use Data in your Auditing Monitoring Program (6.10.21)



NPHI Presents on How to Use Data in your Auditing Monitoring Program

Today, the National Partnership for Healthcare and Hospice Innovation (NPHI) was grateful to hear from Linda Pilla, Director of Regulatory & Compliance Strategies at NPHI and Howard Young, Partner at Morgan Lewis & Bockius to discuss the topic of compliance audits. Ms. Pilla has over 30 years of increasingly responsible clinical, risk and compliance roles in the nonprofit, academic, and for-profit sectors across the continuum of acute and post-acute providers. At Morgan Lewis & Bockius, Mr. Young leads the Healthcare Practice where he brings over 25 years of focused fraud and abuse defense, as well as regulatory and compliance matter experience to counsel a wide variety of healthcare clients.

This Member Engagement call presented government expectations, the framework for compliance auditing and monitoring, risk assessments, and data analytics to members. An essential aspect of an effective compliance program is its capacity to improve and evolve, which includes efforts to evaluate controls and conduct periodic audits, which can ensue the controls are functioning well. This session provided members with an opportunity to understand how data fits into auditing and monitoring programs, as well as key insight from experts, including Ms. Pilla and Mr. Young.

“It is a pleasure to hear from Ms. Pilla and Mr. Young on the important issue of compliance monitoring and auditing,” said Tom Koutsoumpas, CEO of NPHI. “It has been evident that understanding the government’s expectations and striving for a balance between independence, expertise, resources, and reporting is critical. I am grateful our membership can turn to experts with ample experience, like Ms. Pilla and Mr. Young, to deepen their understanding of this complex, yet fundamental topic.”

The conversation, entitled “How to Use Data in your Auditing Monitoring Program,” was part of a biweekly series of NPHI-hosted discussions to address today’s pressing hospice topics through engagement with health policy experts, thought leaders, and other industry innovators. The discussion was meant to present and educate NPHI’s membership on the framework for compliance auditing and monitoring, the importance of analytics in understanding risk assessments, and both internal and external leading indicators. Click here to learn more about this series or how to become an NPHI member.

The National Partnership for Healthcare & Hospice Innovation (NPHI) is a collaborative of 70+ not-for-profit, community-integrated hospice and palliative care providers dedicated to ensuring patients and their families have access to care that reflects their individual goals, values and preferences. Representing providers from 31 states and the District of Columbia, NPHI and its members help design more innovative and effective models of care, advocate for comprehensive and community-integrated care customized to meet each person’s unique needs, and build collaboration between national thought leaders, decision-makers, and other healthcare stakeholders to improve hospice care.