OIG Work Plan Update: What’s In. What’s Out.
Thursday, November 16
The good news: The OIG wants you to know what issues they’re looking at. The bad news: If during an investigation, they ask if you saw the plan and you say, “yes,” that signals you knew better. Say, “no,” and they’ll likely say you acted recklessly. It’s a Catch 22. Bottom line: You need to know what’s on their mind. And now you will, thanks to the upcoming OIG Work Plan Update webcast by healthcare attorney David Glaser.
Goodbye Total Knee Replacement. Hello Problems!
Thursday, December 7
If you're looking for total knee replacement on the inpatient-only list, forget it. Turn off your computer and call your auditing department. Total knee replacement is gone. But your troubles are just starting.
Case Management to Finance: We're Better Together
Former medical director of case management and medical necessity reviewer, Dr. Ronald Hirsch, has created an innovative teaching method to help you and others in case management understand the frustrations of your finance staff.
Turmoil: Joint Replacements Headed to Outpatient Facilities
The Centers for Medicare & Medicaid Services (CMS) have proposed removing total knee replacement from the inpatient-only list as of January 1, 2018. And CMS has also asked for comments on removing total and partial hip replacement from the inpatient-only list, allowing all three surgeries to be performed in ambulatory surgery centers as of January 1, 2019.
Auditors Obsessing with Observation
In what promises to be a game-changer for you and providers, Dr. Hirsch will go into detail on the use of observation in both medical and surgical patients. And, he will also review the proper billing methods for observation.
New Medicare Appeals Process Could Help Your Facility Prevail at the ALJ
This presentation will benefit participants by providing an in-depth look at the changes to the Medicare appeals process set forth in the recent CMS Final Rule and key OMHA initiatives taking place at the ALJ appeal level. These Final Rule provisions and OMHA initiatives will have a significant impact on how you approach your Medicare appeals.