Wednesday, December 16

Compliance expert Michael Calahan has been scrutinizing the payer and regulatory landscape and is prepared to share his findings of likely 2021 compliance targets. He’ll also lay out best practices that will help you prepare for or, better yet, avoid audits.

Thursday, December 10

Nancy Beckley will help equip your organization to survive a planned 9% reduction in 2021 reimbursements for outpatient therapy services, coupled with a resumption of CMS audits. You’ll take away a clear understanding of the latest Medicare payment rules and how to consistently apply them.

Wednesday, November 11

This RACmonitor educational webcast describes specific denial rationales often presented by the payer and offers corresponding appeal strategies while addressing how a proactive approach of performing second level reviews of AKI/ATN denials can mitigate further denials.

Now Available On-Demand

This webcast demonstrates how to improve physician documentation to reflect the level of care that determines the patient status—inpatient versus observation. Knowing the difference can avoid claim denials and revenue loss.

Free Bonus Offer: Order this webcast by December 28 and get complimentary access to our on-demand webcast on billing for observation services.*

Building and sustaining a well-maintained compliance program creates strong defense strategies to combat the non-specific denials or lack of clinical judgment by payers and their contracted auditors.

Across the country, IRFs were blindsided by the COVID-19 pandemic. Angela Phillips, one of the nation's leading IRF authorities, will share her appraisal of the various responses, as well as how to prepare for the next public health emergency.

The OIG Workplan describes areas of intended investigation by the OIG, including specific COVID-19 regulations. This webcast describes those areas in order for providers to align, prioritize and focus their compliance efforts.

Dr. John K. Hall identifies a wide range of risks for COVID-19 related claim denials that are generally not considered by revenue cycle, utilization management and case management teams that make providers "easy targets" for payers to deny claims or make appeals more difficult to achieve.

SNFs face hundreds of COVID regulatory exceptions that will be eliminated upon the expiration of the PHE. Audits will follow.

The 2021 IPPS final rule, the 2021 proposed rules for OPPS and the Medicare Physician Fee Schedule are reviewed during this webcast so that your facility can prepare for these new regulations. Failure to comply leads to compliance, revenue and patient dissatisfaction risks.

Dr. Ronald Hirsch takes a deep dive into surgery status, medical necessity and site-of-service rules, which differ significantly among the various payers. By consistently applying these rules, you can prevent claim denials that eat away at vital revenue from surgical procedures.

David Glaser provides hospitals and clinics answers to important pricing questions, as well as an overview of the new price transparency rule that will apply to hospitals on January 1, 2021.