Top 10 Compliance Targets in 2021: Take Action to Reduce Your Risks
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.
Outpatient Therapy: 2021 Strategies for Survival
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.
Learn Strategies to Stop AKI Revenue Leaks
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.
Payer Audits: Know Your Rights and How to Appeal
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.
OIG Workplan: What You Don't Know is a Compliance Risk
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.
Learn Secrets to Avoid COVID-19 Claim Denials
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.
CMS 2021 Rule Update for Care Management and Utilization Review
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.
Surgery: Know the Rules for Status, Location and Medical Necessity
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.