This webcast reveals how auditors are using incorrect and arbitrary data to deny claims for acute respiratory failure and how to prevent and appeal those denials successfully.

Attorney Knicole Emanuel explores the likely targets of post-pandemic audits and provides healthcare providers with tools and knowledge to defend themselves.

Dr. Hirsch provides the essential elements your hospital needs to achieve compliance with the new CMS prior authorization program and to ensure proper medical necessity documentation for these procedures, thereby protecting reimbursement.

This webcast explains how to mitigate compliance risks and revenue loss by using the correct patient status codes as identified in the Post-Acute Care Transfer (PACT) rule.

During this webcast, Nancy Beckley provides outpatient therapy providers with the facts, updates and resources to understand e-visits and telehealth temporary codes under the 1135 waivers while remaining compliant with other 2020 regulatory changes.

Learn how to effectively overturn clinical validation denials for malnutrition and encephalopathy by overpowering faulty payer and third-party review rationale.

Understand the rules and policy, while mitigating common misunderstandings surrounding the billing for incident-to and split-shared services.

This webcast provides a strategic approach to optimize the prevention and management of complex DRG denials, while mitigating immediate revenue loss and protecting the future financial health of your facility.

Michael Calahan explains what hospitals need to know about the "Two-Midnight Rule," how this rule impacts observation services, and how these services are informed by the federal expectations around short-stay admissions and the physician orders for inpatient admissions.

This webcast explains —in plain English— the Medicare regulation and the manual provisions for billing incident-to and split-shared services while clearing up common misunderstandings surrounding these services.

This webcast describes what you should do to mitigate exposure in dealing with the governmental and commercials payers who establish their own "hit lists" and "audit targets."

Basic concepts and compliant billing of observation services are reviewed during this webcast, including proper use of condition code 44, when observation is used and not used after surgery, and how to avoid excess hours denials.