This RACmonitor webcast discusses laws, regulations and other sources of regulatory requirements that govern Medicare Advantage plans and, importantly, when and how these plans can make changes to their contracts or operations that can have an impact on your facility.

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.

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.

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.

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.

This exclusive RACmonitor webcast, led by David Glaser, provides you and your team 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 execute smart legal approaches.

Using actual examples of non-compliant issues, this webcast demonstrates the ongoing compliance challenges with HCCs in a risk-adjusted environment such as physician practices and Accountable Care Organizations (ACOs).

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.

This exclusive RACmonitor webcast addresses the perils of "simply removing FIMTM elements" from an IRFs documentation while providing success strategies for assuring accurate and compliant scoring.

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.

This webcast demonstrates how to strategize, track and trend claim denials in order to capture revenue, clean up claim submissions, improve efficiencies and prevent revenue leaks. It is estimated that claims denials are costing hospitals as much as 5 percent of their net revenue stream.

Learn how providers should assign the appropriate status to support medical necessity, optimize quality data and ensure appropriate hospital reimbursement in order to avoid claim denials by Medicare Part C auditors.