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Learn Secrets to Avoid COVID-19 Claim Denials

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Unaware of the vulnerabilities in your COVID-19 documentation could expose your facility to claim denials by payers while making the appeal of those denials needlessly more difficult. Learn how to prevent revenue losses by recognizing documentation discrepancies.

Price: $229.00

Product Code: AR101420


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Description Biography
 

The Centers for Medicare & Medicaid Services (CMS) have authorized the resumption of Medicare medical record auditing which, until recently, had been placed on hold during the ongoing coronavirus pandemic. However, as the pandemic continues unabated, the pace for auditing claims is quickening. And the numerous regulatory waivers issued by CMS has left providers with an array of confusing documentation issues which easily become trip wires for COVID-19 related claim denials, including patient status claim denials. There is, though, light at the end of the proverbial tunnel for providers in protecting their reimbursement revenue. There are strategies for improving documentation. And there are techniques for identifying vulnerabilities in documentation which could put facilities at risk for non-compliance and potential revenue loss.

During this upcoming webcast, Dr. John K. Hall, physician and attorney, will identify a wide range of risks that are generally not considered by revenue cycle, utilization management and case management teams. These are overlooked risks that are not overlooked by auditors —auditors who have an uncanny ability to detect high-risk claims and pursue them as easy targets for denial and recoupment. Learn how to prevent revenue losses by recognizing documentation discrepancies.

Why This is Relevant:

Amid the coronavirus pandemic, Medicare medical record auditing has resumed, and payers are looking at documentation vulnerabilities to pursue as easy targets for claim denials.

Learning Objectives:

  • Understand what to expect from auditors related to COVID-19 claims.
  • Understand which auditors will review claims.
  • Recognize which revenue streams are at risk.
  • Recognize non-patient payments at risk.
  • Recognize the "hidden clinical" components leading to recoupment.

Who Should Attend:

Revenue cycle staff, regulatory compliance managers and staff and clinical documentation improvement and HIM staff.


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