COULD 100 AUDITED CLAIMS LEAD TO A MULTIMILLION-DOLLAR REPAYMENT DEMAND?

Recent OIG audits show just how quickly revenue integrity failures can become multimillion-dollar problems.

In one recent 2026 audit, the HHS-OIG identified billing issues in 38 of 100 sampled claims and estimated at least $17.8 million in Medicare overpayments.

Another recent audit estimated $4.7 million in overpayments after identifying compliance issues in 33 of 100 sampled claims.

The message for healthcare organizations is clear:

Small breakdowns in documentation, coding, charge capture, billing, and internal controls can create significant financial and compliance exposure.

Prevent Revenue Leakage, Reduce Audit Risk & Protect Compliant Reimbursement

Revenue integrity is no longer just about ensuring charges make it onto a claim.

Today, healthcare organizations must ensure that documentation, coding, billing, charge capture, payer requirements, reimbursement, denials, and compliance controls all work together.

When they do not, the consequences can include:

• Missed charges and lost revenue
• Coding and documentation vulnerabilities
• Increased payer denials and underpayments
• Medicare and Medicaid audit exposure
• Overpayment identification and repayment demands
• Allegations of improper billing
• Costly retrospective investigations and corrective actions

This practical, compliance-focused webinar will help you identify where revenue leakage and billing risks occur—and strengthen your processes before an auditor, payer, or regulator finds the problem first.

Webinar Objectives

• Revenue integrity fundamentals and emerging risks
• The hidden cost of revenue leakage
• Documentation integrity and coding accuracy
• Charge capture failures and missed revenue
• High-risk billing and compliance vulnerabilities
• Payer denials, underpayments, and appeals
• Medicare, Medicaid, and commercial payer audit readiness
• Revenue integrity dashboards and KPIs
• Using data analytics to detect risk and improve performance
• Building a culture of compliance and financial accountability
• Real-world case studies and lessons learned

Webinar Agenda

• Define revenue integrity and explain its role in healthcare compliance and reimbursement.
• Identify common causes of revenue leakage across the revenue cycle.
• Recognize documentation, coding, billing, and charge capture vulnerabilities that increase audit risk.
• Evaluate the impact of payer policies, denials, and reimbursement methodologies on revenue integrity.
• Apply auditing and monitoring strategies to improve compliance and financial performance.
• Develop practical approaches for strengthening internal controls and reducing regulatory risk.
• Utilize revenue cycle data to identify trends, outliers, and opportunities for process improvement.
• Implement best practices that support compliant reimbursement and long-term organizational sustainability.

Webinar Highlights

• Revenue Integrity Fundamentals: Why It Matters More Than Ever
• The Hidden Cost of Revenue Leakage
• Documentation Integrity and Coding Accuracy
• Charge Capture Failures and Missed Revenue Opportunities
• High-Risk Billing and Compliance Vulnerabilities
• Payer Denials, Underpayments, and Appeals Strategies
• Audit Readiness for Medicare, Medicaid, Commercial Payers, and Government Contractors
• Revenue Integrity Dashboards and Key Performance Indicators
• Using Data Analytics to Detect Risk and Improve Performance
•  Building a Culture of Compliance and Financial Accountability
• Real-World Case Studies and Lessons Learned

Who Should Attend

• Medical Coding Specialists
• Medical Billing Specialists
• Medical Auditing Specialists
• Private Practice Physicians
• Managed Care Professionals
• Operations Leadership
• Practice Administrators
• Office Managers
• Compliance Officers/Committees  
• Chief Medical Officer