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Learn Proven Strategies for Building a Better Appeal: Improving Letters, Arguments and Process webcast image Learn Proven Strategies for Building a Better Appeal: Improving Letters, Arguments and Process

Wednesday, July 24

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.

Price: $229.00
CMS 2020 Rule Update for Care Management and Utilization Review webcast image CMS 2020 Rule Update for Care Management and Utilization Review

Tuesday, August 13

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.

Price: $229.00
Resolving Compliance Issues with HCCs in a Risk-Adjusted Environment webcast image Resolving Compliance Issues with HCCs in a Risk-Adjusted Environment

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).

Price: $229.00
New Rules from CMS about the RACs Will Impact You webcast image New Rules from CMS about the RACs Will Impact You

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.

Price: $229.00
2020 IRF PPS: Be Prepared for Less Work, More Risk webcast image 2020 IRF PPS: Be Prepared for Less Work, More Risk

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.

Price: $229.00
Denials Management: A Proven Strategy to Improve Efficiencies and Stop Revenue Leaks webcast image Denials Management: A Proven Strategy to Improve Efficiencies and Stop Revenue Leaks

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.

Price: $229.00
Inpatient or Observation: A Proven Strategy to Avoid Medical Necessity Denials webcast image Inpatient or Observation: A Proven Strategy to Avoid Medical Necessity Denials

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.

Price: $229.00
The Patient Notification Forms: Getting the Right One Right the First Time webcast image The Patient Notification Forms: Getting the Right One Right the First Time

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.

Price: $229.00
Understanding Medicare Self-Denial and Rebilling webcast image Understanding Medicare Self-Denial and Rebilling

Every MCR-participating facility utilizing the 2-Midnight rule has to be familiar with CMS-guided self-deny decision process resulting in subsequent rebilling. Recent and increased 2-midnight audits by the QIOs mean your facility could be at risk if you are an outlier.

Price: $229.00
Appealing Clinical Validation Denials: A Team Effort webcast image Appealing Clinical Validation Denials: A Team Effort

This webcast will review point-by-point how to optimize your organization's appeals process. From initial understanding of appeal processes available via contractual agreements to denial review and assessment and finally to effective appeal, you'll come away with a step-by-step map ready to implement.

Price: $229.00
Total Knee Arthroplasty: The Status Controversy Continues webcast image Total Knee Arthroplasty: The Status Controversy Continues

Learn to determine the correct patient status for patients undergoing total knee arthroplasty. Failure to assign the correct TKA patient status could trigger potential RAC audits, claim denials and takebacks impacting facilities and physician practices as you will learn during this RACmonitor webcast.

Price: $229.00
How to Challenge Unreasonable Positions by Medicare Advantage Plans webcast image How to Challenge Unreasonable Positions by Medicare Advantage Plans

This RACmonitor webcast walks you through some of the rules you are obligated to follow from private insurance companies, especially in light of rules governing traditional Medicare. From this webcast you will know when to push back, and strategies for making this relationship less frustrating.

Price: $229.00
New Strategies for Documenting to Support Quality webcast image New Strategies for Documenting to Support Quality

To thrive under CMS quality-based pay-for-performance program adjustments in FY2019, it is increasingly important for you to understand clinical documentation practices to ensure those practices support accurate reporting of quality metrics which are so essential in the reporting of public data.

Price: $229.00
Telehealth: New Pathways to Increase Revenue and Minimize Compliance Risk webcast image Telehealth: New Pathways to Increase Revenue and Minimize Compliance Risk

Telehealth is here, although currently available only to rural healthcare market. But the future of telehealth is bright with the promise to increase revenue, marketing share and minimizing compliances risks as explained in this remarkable webcast that prepares you for the future.

Price: $229.00
Biggest RAC Changes Are Here: Learn to Avoid Denied Claims webcast image Biggest RACs Changes Are Here: Learn to Avoid Denied Claims

This webcast will review the biggest and latest changes to RAC audits. And there are significant new changes to their efforts to deny claims and recoup reimbursement. And, after having returned $214 million to the Medicare program in 2016, they're looking for more money—no doubt yours—during 2019.

Price: $229.00
Discharge Planning: Why Your Hospital Could Forfeit Millions to the Feds webcast image Discharge Planning: Why Your Hospital Could Forfeit Millions to the Feds

This exclusive RACmonitor webcast will discuss how policy changes to the Hospital Readmission Reduction Program (HRRP), expected to come from CMS, could impact your hospital's compliance, reimbursement and future participation in Medicare and Medicaid.

Price: $229.00
Avoid Unnecessary Refunds to the Government: How to Keep Payments You Earned webcast image Avoid Unnecessary Refunds to the Government: How to Keep Payments You Earned

This webcast will demonstrate why you could be mistakenly refunding money to the government that you should actually be keeping for your facility. Some listeners have actually saved millions of dollars after listening healthcare attorney David Glaser.

Price: $229.00
Risk Adjustment Data Validation Audits: Auditors Target Medicare Advantage Plans webcast image Risk Adjustment Data Validation Audits: Auditors Target Medicare Advantage Plans

This webcast will provide information on how Risk Adjustment Data Validation (RADV) audits —through the use of extrapolation of 200 charts—could cost your facility millions of dollars. Learn how to ward off auditors. Learn how to implement a compliance plan in order that protects your facility.

Price: $229.00
How to Avoid Legal Pitfalls: Learn from False Claims Act Cases and OIG Guidance webcast image How to Avoid Legal Pitfalls: Learn from False Claims Act Cases and OIG Guidance

This webcast will focus on significant cases and investigations this past year. The focus will be lessons to be learned from government investigations, while also analyzing current OIG enforcement priorities. We will also discuss the 2019 Medicare Physician Fee Schedule.

Price: $229.00
Therapy Changes for 2019: Avoid Denials, Stay Compliant. Proceed with Extreme Caution webcast image Therapy Changes for 2019: Avoid Denials, Stay Compliant. Proceed with Extreme Caution

New rules for therapy providers are effective Jan. 1, 2019. Without an understanding of the new changes impacting therapy services, providers are at high risk of committing documentation errors, leading to the submittal of claims with errors.

Price: $229.00
TPE Targets: Learn Sensible Solutions to Avoid Audits webcast image TPE Targets: Learn Sensible Solutions to Avoid Audits

This webcast will include a review of the targeted probe and educate (TPE) process. During this webcast you will receive a timetable of important deadlines to be met if you are being audited. You will also receive tips for medical record preparation. And you will also learn about current audit targets.

Price: $229.00
2019 Survival Guide for Off-Campus Provider-Based Clinics webcast image 2019 Survival Guide for Off-Campus Provider-Based Clinics

This webcast will explain the direction of provider-based clinics in terms of reimbursement as well as how payments will be made for off-campus excepted clinics. Failure to understand these changes could result in your facility being a target for auditing and facing the loss of reimbursement.

Price: $229.00
Beyond the CMS Two-Midnight Rule: What You Need to Know About Patient Status and Utilization webcast image Beyond the CMS Two-Midnight Rule: What You Need to Know About Patient Status and Utilization

Utilizing real-world case examples that illustrate correct patient status, this webcast will provide a practical review of all the rules surrounding patient status and how to apply them on a daily basis at your facility whether you are a newcomer to case management or a seasoned professional.

Price: $229.00
New RAC Auditing on IRFs Puts Revenue at Risk webcast image New RAC Auditing on IRFs Puts Revenue at Risk

The RACs are back with a vengeance. Having received the green light in September from the CMS to conduct complex medical reviews, they are going after inpatient rehabilitation facilities (IRF) with an assault on Medicare claims.

Price: $229.00
Avoid Denials: Learn How to Crosswalk from Acute Care to SNF webcast image Avoid Denials: Learn How to Crosswalk from Acute Care to SNF

What's the difference between an acute care stay or a SNF stay? And when is it safe to make an appropriate discharge? From this exclusive RACmonitor webcast you'll know how to get the patient to the right place for the right amount of time while avoiding an unsafe discharge or a denied claim.

Price: $229.00
Protect Reimbursement and Avoid Denials for Respiratory Failure, Malnutrition, Encephalopathy and Sepsis webcast image Protect Reimbursement and Avoid Denials for Respiratory Failure, Malnutrition, Encephalopathy and Sepsis

The four leading causes of claim denials are respiratory failure, malnutrition, encephalopathy and sepsis. This RACmonitor webcast provides information to avoid denials, win appeals, and protect reimbursement when payers have downgraded these denial-prone DRGs on claims submitted by your facility.

Price: $229.00
Medicare's Shared Decision-Making: Now the RACs Will Decide webcast image Medicare's Shared Decision-Making: Now the RACs Will Decide

Dr. Ronald Hirsch will explain the process of shared decision-making by describing case studies to help ensure compliance with the regulations and, moreover, to be prepared for more widespread adoption of this patient-centered concept.

Price: $229.00
Observation vs. Inpatient Case Studies: Master Patient Status Assignment webcast image Observation vs. Inpatient Case Studies: Master Patient Status Assignment

Learn from real-world case study examples of inpatient and observation status.

Price: $229.00
2019 Medicare Payments Final Rules: New Fed Focus to Reduce Provider Burdens webcast image 2019 Medicare Payments Final Rules: New Fed Focus to Reduce Provider Burdens

You and your team will learn new payment regulations, changes in quality programs, changes in electronic health record (EHR) certification, and changes in the Merit-based Incentive Payment System (MIPS) program for physician use of EHRs.

Price: $229.00
Learn About Proposed E&M Changes and How You Can Affect Them webcast image Learn About Proposed E&M Changes and How You Can Affect Them

While CMS proposes a drastic overhaul to evaluation and management (E&M) coding, the agency is seeking comment from stakeholders. Join Shannon DeConda as she will discuss the proposed changes and potential impact to your organization.

Price: $229.00