Is your facility among others that are refunding millions of dollars every year mistakenly believing that refunds are required to be compliant? Whether you have billed under the wrong professional’s name, have an unsigned chart, are missing a written order, had a short hospital stay, or are missing evaluation and management (E&M) documentation, there are often solid legal arguments that you do not need to refund money because of an error.
While there are certainly times a refund is required or appropriate, but when you have provided a service to a patient, the law doesn’t require a refund for every administrative error.
This exclusive RACmonitor webcast will describe those situations in which organizations have refunded tens of thousands, hundreds of thousands, and in some cases more than a million dollars that they were legally entitled to keep. For example, one healthcare system had refunded over $1 million on short stay hospitalizations. But after hearing one of our webcasts on this subject, realized that they had been legally entitled to keep money.
In another instance, a clinic that had voluntarily refunded hundreds of thousands of dollars, appealed to recover that unnecessary voluntary refund. This webcast, led by healthcare attorney David Glaser, will explain how you can determine whether a refund is necessary and what options you have to recover money you voluntarily refunded.
Why This is Relevant:
Healthcare organizations needlessly refunded millions of dollars.
By attending this exclusive RACmonitor webcast, led by healthcare attorney David Glaser, you will...
- Understand when refund is truly required and why many lawyers mistakenly recommend them;
- Recognize how Medicare and private payers define an overpayment;
- Understand why you should not refund based on manuals and guidance;
- Know how far back you should go when refunding; and
- Recognize when you can appeal to receive money you refunded.
Who Should Attend:
CEOs, CFOs, auditors, coders, physician advisors, chief financial officers, RAC coordinators, compliance professionals, case managers, UR staff, chief medical officers, social workers, and revenue integrity and revenue cycle specialists.