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.

This webcast discusses the implications of Targeted Probe and Educate (TPE) audits in the context of other audits in the overall audit-enforcement landscape, plus how you can reduce your level of risk if your organization is targeted.

DRG and clinical validation auditors are exploiting the confusion surrounding what is, and what isn't, acute heart failure. From Dr. Beth Wolf, you'll learn the most common reasons for heart failure claim denials and how to formulate an effective appeal, supported by key clinical indicators.

This two-part webcast combo from ICD10monitor and RACmonitor, presented by Dr. Beth Wolf, covers must-know clinical aspects of acute heart failure, plus deep dives into the validation of DRGs and clinical documentation, as well as strategies for claim denial appeals.

This webcast explains how to save your facility hundreds of thousands of dollars in potential repayment and fines by correctly following CMS requirements for medical device credits and managing patient accounts when devices are billed.

This webcast analyzes readmissions from several different perspectives including the finances of prevention for Medicare and commercial patients, the various payer programs dealing with readmissions, the right and wrong way to avoid readmissions, and how to know whether your facility is doing it right

The myriad of federal and state rules and regulations attached to the PRF are explained by healthcare attorney Knicole Emanuel who also reveals important exceptions to those rules and how to mitigate risks and possible audits.