"But I've heard that's illegal!" All too often, this kind of opinion is simply wrong. From this webcast, presented by David Glaser, you'll learn how to navigate tricky "legal vs. illegal" questions, enabling you to prevent needless refunds, baseless investigations and upset employees.

Learn how to evaluate your current care management program and determine how to position care management in a proactive way to address admissions, medical necessity, patient throughput, and internal level of care readiness and external transition.

Adhering to changes in the 2022 IPPS, OPPS and MPFS rules is not optional. Failure to comply puts you at risk for regulatory action, revenue shortfalls and patient dissatisfaction. If risk avoidance is important to your hospital — and it should be — you can't afford to miss this annual webcast.

This RACmonitor webcast demonstrates a successful approach that marries clinical and legal arguments to support your claims, your documentation and your entitled rights.

The payer playbook provides payers the strategies they need for denying claims. This webcast leverages that information to help you decode their denial approaches for bacterial, aspiration and viral pneumonia.

Learn the key advantages of a closed observation unit at your facility and how to overcome challenges so your providers and nurses can give the appropriate level of care for observation patients during an exclusive RACmonitor webcast, led by Dr. Howard Stein, a physician advisor at Centrastate Hospital.

This webcast is a back-to-the-basics tutorial on utilization management, recognizing that so often healthcare professionals come into utilization review with little or no training in Medicare regulations or payment methodologies.

This RACmonitor webcast prepares you with knowledge about statistical sampling that you need to defend against external extrapolation audits, while helping you to create statistically significant samples for internal audits to ensure compliance.

Led by physician advisor Dr. Juliet Ugarte Hopkins, this webcast explains why case management and utilization review have incorrectly applied Condition Code 44 for nearly 20 years and demonstrates the correct and compliant way this controversial code should be implemented.

During this webcast you will learn behind-the-scenes information that will help you to autopsy the reason why the claims were denied which, in turn, will empower CDI initiatives at your facility to effectively appeal ridiculous DRG denials.

This RACmonitor webcast, led by David Glaser, provides you useful legal arguments for responding to denials with proven strategies for how to best package your appeals, including how to write effective appeal letters and present compelling arguments.

This webcast clearly defines medical necessity and how that concept is applied to procedures, admissions, and sites of service, while clearing up the most common areas of confusion.