Wednesday, November 20

This RACmonitor webcast, led by healthcare attorney David Glaser, provides practical tips that will lower the chance your organization will face a government investigation.

Thursday, December 5

For this RACmonitor webcast, we've secured Dr. Ronald Hirsch, one of our most trusted and popular presenters, to help you sort out key changes in the 2020 Hospital Outpatient Prospective Payment System (OPPS) Final Rule, so you're equipped to seize opportunity and minimize your compliance risks in 2020.

Thursday, December 12

There are significant therapy changes for 2020, and providers must be prepared to navigate the changes prior to Jan. 1, 2020. During this RACmonitor webcast, nationally recognized outpatient therapy compliance expert Nancy Beckley reviews new codes for outpatient therapy.

Revenue loss related to THAs coming off the inpatient-only list is inevitable, but effective plans in place to minimize such losses are crucial in this age of tight operational margins as presented in this RACmonitor webcast.

New regulations from the Centers for Medicare & Medicaid Services (CMS) in 2020 for IRF providers are discussed by Angela Phillips during this webcast that's designed to help you and your team accurately report, document and bill for IRF services in an environment of increased scrutiny by auditors.

This exclusive RACmonitor webcast, led by David Mullens, JD, DPM describes how to write a letter brief that is understandable to the ALJ and describes the patient's problem, helps the ALJ understand what was done, and persuades the ALJ to agree that what was done was the correct thing to do for the problem.

The Centers for Medicare & Medicaid Services (CMS) has released the final rule for discharge planning conditions of participation. The significant changes are addressed by Dr. Ronald Hirsch during this exclusive RACmonitor news webcast.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.