Moss Adams - Lori Laubach

Industry Expertise

Ancillary Health Care Services Hospitals and Health Systems Medical Groups & Physicians

Practice Focus

Health Care Consulting Internal Audit Process & Controls

Biography

Lori has been in health care consulting and public accounting since 1991. She has experience consulting for the private sector and not-for-profit organizations, including regulatory compliance program development and monitoring for integrated hospitals, multi-specialty clinics, single specialty clinics, mental health centers, and community health centers; forensic reviews; operational and revenue bench-marking projects; revenue cycle assessments; operational reviews; and risk assessments of physician groups and integrated systems.

Her specific relevant experience includes:

Risk assessments and medical documentation reviews of several physician groups, focusing not only on E&M coding but all CPT codes
Design, implementation, and monitoring of clients’ regulatory compliance plans, as well as risk assessments and annual work plan development
Assessments of revenue cycles for integrated, ancillary, and standalone medical groups
Implementation and redesign of revenue cycle and coding functions
Acting as temporary controller for various entities
Operational reviews of all types of medical groups
Design and implementation of compliance plans

Selected Speaking Engagements

Navigating Risk While Defending Against the Three-headed Monster: False Claims, Stark Law and Anti-kickback Statute
(Moss Adams Health Care Conference, November 2018)
Auditing and Monitoring SNF Operational & Reimbursement Compliance
(LeadingAge – CA, May 2015)
E/M Audits
(OR/WA MGMA Annual Meeting, May 2015)
How and When to Conduct a Compliance Internal Audit
(HCCA Annual Compliance Institute, April 2015)
OIG Auditing – Hot Topics Round Table
(Portland HCCA, February 2015)
Risk of the Electronic Health Record – Updates
(AHIA Pacific Northwest Regional Seminar, October 2014)
HCC Coding
(AHIA Annual Conference, September 2014)
EMR Challenges Related to Billing and Revenue Cycle
(California Primary Care Association Billing Managers Peer Conference, May 2014)
Compliance – What has Changed in the Seven Elements
(OR/WA MGMA Annual Meeting, May 2014)

Professional Affiliations

Member, American Health Lawyers Association
Member, Association of Healthcare Internal Auditors
Member, Health Care Compliance Association
Member, Healthcare Financial Management Association

Education

BS, accounting, Pacific Lutheran University

Insights from Lori Laubach

Understanding the Nuances of the No Surprises Act Good Faith Estimates

What facilities and providers should know about making good faith estimates (GFE) to comply with the No Surprises Act.

New CMS Rule, Coding, and Compliance for Behavioral Health and Telehealth

A new rule from CMS regarding behavioral health affects documentation and accurate coding and compliance.

Auditing and Monitoring Program: Considerations and Key Elements to Include

Tribal health facilities are responsible for providing quality care—and processing proper claims for payment.

Navigating Health Care Fraud Regulations for Contracting and Referral Arrangements

Learn how to navigate changes to the health care laws that regulate contracting and referral arrangements.

Washington State Telemedicine Training Requirements to Meet Before June 2021

Learn which Washington health care providers are required to complete telehealth training and how to get started.

New COVID-19 Relief Provides Aid to Tribes and Tribal Businesses

The federal stimulus package provides expanded PPP loans, CRF extensions, and more to Tribes and Tribal governments.

HHS Releases Updates: CARES Act Provider Relief Fund Reporting Requirements

On October 22, the HHS updated key Provider Relief Fund reporting requirements introduced in the CARES Act. Get the details.

HHS Releases CARES Act Provider Relief Fund Reporting Requirements

HHS published general and targeted distribution post-payment PRF reporting requirements.

HHS Delays Reporting Dates for CARES Act Provider Relief Funds

HHS updated reporting requirements for CARES Act Provider Relief Fund recipients. Learn about the effect on first quarterly compliance reports.

Best Practices for Telehealth Appointments During COVID-19

More organizations are using telehealth for patient outreach during the COVID-19 pandemic. Learn about best practices for this type of care.

Internal Auditing Within a Revenue Integrity Program

(AHIA New Perspectives) Organizations can achieve operational improvements by consistently monitoring and auditing their revenue integrity program.

Discover How a Payroll Audit Can Help Lower Your Health Care Organization’s Compliance and Fraud Risk

Protect your health care organization by implementing periodic payroll audits to identify and mitigate fraud and abuse in your payroll process.

Avoid Overpayments and Penalties by Auditing Physician Payments and Arrangements

Learn how to identify improper physician arrangements and payments to help ensure future compliance and avoid penalties.