Appealing Clinical Validation Denials: A Team Effort
Thursday, April 18
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.
Total Knee Arthroplasty: The Status Controversy Continues
Thursday, April 4
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.
How to Challenge Unreasonable Positions by Medicare Advantage Plans
Thursday, March 28
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.
New Strategies for Documenting to Support Quality
Thursday, March 21
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.
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.
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.
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.
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.
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.
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.
2019 ICD-10-PCS/CM Workshop 3: Stay Focused on MS-DRG Shifts
Medicare Severity Diagnosis Related Groups (MS-DRGs) methodology will change, as it always does. But this time you’ll need to understand how these changes will impact your facility’s reimbursement. Take your coding skills to a new level of performance before the codes changes become effective October 1.
2019 ICD-10-PCS/CM Workshop 2: Take Control of ICD-10-PCS Changes
Take your coding skills to a whole new level of proficiency in applying the 2019 ICD-10-PCS code set. There’s a total of 78,881 ICD-10-PCS codes. The 2019 code set includes 392 new codes; 8 revision titles; and 216 deleted codes. Take your coding skills to a new level of performance before the codes changes become effective October 1.
2019 ICD-10-PCS/CM Workshop 1: Master ICD-10-CM Changes
You and your team will be able to master the new ICD-10-CM codes changes. As in past years, these diagnosis codes have been significantly high in number and in complexity. Take your coding skills to a new level of performance before the codes changes become effective October 1.
2019 ICD-10-PCS/CM Workshop Series: Express Lane to Coding Proficiency
The all-new ICD-10-PCS/CM codes for 2019 will be implemented soon and you and your team will want to be the first to experience these new codes and concepts. Take your coding skills to a new level of performance before the codes changes become effective October 1.
IPPS Final Rule: Expect Change to Physician Inpatient Order Requirements
In this exclusive RACmonitor webcast, Dr. Ronald Hirsch will review the IPPS Final Rule and provide hospitals a compliant interpretation of this new guidance illustrated with case examples. He will also provide an overview of the 2019 OPPS Proposed Rule with speculation on what the proposals will bring in 2019.