Learn How to Prepare for Observation Audits by the RACs
This webcast will demonstrate to you and your team how to distinguish inpatients from outpatients with observation services, while helping you to understand the time-sensitivity of observation services and what steps to take in preparation for observation audits.
Use Patient Status to Stop Claim Denials
Learn how you should assign the appropriate status to support medical necessity, optimize quality data and ensure appropriate hospital reimbursement in order to avoid claim denials by commercial payers.
How to Obtain Post-Acute Authorizations from Managed Medicare Plans
Learn how to leverage Managed Medicare insurers who are denying authorizations for inpatients requiring post-acute care. A more recent challenge is obtaining authorizations for long term acute care (LTAC), acute rehabilitation and subacute rehabilitation (SAR) which will be explained in this webcast.
CMS 2020 Rule Update for Care Management and Utilization Review
The 2020 IPPS Final Rule, the 2020 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 that become effective Oct. 1, 2019. Failure to comply leads to compliance, revenue and patient dissatisfaction risks.
New Rules from CMS about the RACs Will Impact You
You may think that you are adequately appealing your adverse decisions. But if you know the issues that even CMS believes exist regarding the RACs, you may be more successful in your appeals as you will discover during this webcast led by healthcare attorney Knicole Emanuel.
The Patient Notification Forms: Getting the Right One Right the First Time
This exclusive RACmonitor webcast demonstrates how and when to use the right patient notification form when communicating a patient's status. Using the wrong form or even the right form with incomplete information is a red flag to auditors who typically side with patients in case involving disputes.