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New Medicare Appeals Process Could Help Your Facility Prevail at the ALJ

Thursday, August 17

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.

Price: $229.00
Auditors Obsessing with Observation

Tuesday, August 29

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.

Price: $229.00
Six Components of Extrapolation That Could Save Your Facility Millions

Wednesday, July 26

This critically important RACmonitor webcast will cover the six components of extrapolation, explaining the good and bad of each one.

Price: $229.00
Avoid a RAC Audit: Learn Compliant Exceptions to Short Inpatient Stays

The Two Midnight Rule is under constant evolution, be it changes to the rule itself as with the new exception for physician judgment, or the changes in the audit process going to a more targeted approach.

Price: $229.00
Mastering Medicare Advantage, Part II: Understanding Risk Adjustment and HCCs

Medicare uses a complex risk-adjustment process when paying Medicare Advantage Organizations (MAOs) for services provided to Medicare beneficiaries who enroll in a Medicare Advantage plan. Of particular interest is the Risk Adjustment Data Valuation (RADV) and associated Hierarchical Condition Categories (HCCs) as you will discover during Part II of this crucially important webcast by author, educator, and consultant Duane Abbey.

Price: $229.00
How to Write a Proposed Decision to the ALJ and Get Paid Sooner Than Later

With the backlog at the Office of Medicare Hearings and Appeals, more than a few ALJs are asking appellants to submit proposed decisions. Will you be ready and able to give the ALJ something they can actually use? Now, thanks to this exclusive webcast and former ALJ and decision writer, Bob Soltis, you'll be able to write a proposed decision to include with your Request for Hearing.

Price: $229.00
Mastering Medicare Advantage, Part I: Improve Reimbursement, Claim Adjudication and Appeals

Medicare Advantage programs are becoming more and more popular. Understanding the differences between Medicare Advantage and traditional Medicare can translate into better reimbursement and less cost in filing and tracking claim adjudication and payment as you will discover during Part I of this crucially important webcast by author, educator, and consultant Duane Abbey.

Price: $229.00
Mastering Medicare Advantage: An Important 2-Part Webcast Series

Medicare Advantage is like sitting down and confronting a bowl of goulasha steamy brew of meat, vegetables and broth. You really don't know what you're getting into until it's too late. Medicare Advantage is a brewing stew of compliance issues.

Price: $389.00
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The MOON: Lessons Learned: An Important Case Study

The MOON is a new requirement that just went into effect on March 8, 2017. It is a requirement that many sites are struggling to deliver. This webcast, featuring lessons learned from Trinity Health, will help you identify what could work in your own organization. Sharing processes and policies means that you don't have to reinvent the wheel.

Price: $229.00
Outpatient Therapy Rehab Updates: Get the Facts – Not Fake News

Hear nationally respected Nancy Beckley debunk therapy urban legends circulating in therapy listservs. Learn how to ensure your therapy program relies on fact, not fiction of fake news.

Price: $229.00
Warning: The RACs Are Back. New Contracts. New Rules.

The Recovery Audit Contractsthe RACsare ready to start auditing your claims. While some processes will resemble previous audits, there are important changes to the new rules that warrant review, analysis, and understanding.

Price: $229.00
Implantable Device Credit Reporting: Intense Federal Audits Continue

The OIG has not slowed down in its apparent endeavor to access every facility, whether a hospital or an ASC, to audit each facility's claims history and current practices under implantable medical device credit requirements. High error rates make these targeted audits lucrative in terms of repayments and fines. It's not easy to master and implement these requirements, but you must know how. This webcast will show you how to report compliantly.

Price: $229.00