COVID-19 Provider Relief Funds: How to Avoid Audits
Thursday, January 21st
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.
ABNs and HINNs: Stay in Compliance During COVID-19
Thursday, January 14th
This webcast provides solutions to common struggles that case managers and utilization specialists face when trying to identify the appropriate patient notice (HINN and ABN) and how they can remain compliant with CMS regulations during the PHE and beyond.
COVID-19: Clearing up Regulatory Confusion
Healthcare attorney David Glaser untangles rules and waivers associated with telemedicine, Stark, licensure and practical legal issues surrounding the wearing of face masks and vaccine requirements.
Outpatient Therapy: 2021 Strategies for Survival
Nancy Beckley will help equip your organization to survive a planned 9% reduction in 2021 reimbursements for outpatient therapy services, coupled with a resumption of CMS audits. You’ll take away a clear understanding of the latest Medicare payment rules and how to consistently apply them.
Learn Strategies to Stop AKI Revenue Leaks
This RACmonitor educational webcast describes specific denial rationales often presented by the payer and offers corresponding appeal strategies while addressing how a proactive approach of performing second level reviews of AKI/ATN denials can mitigate further denials.
Payer Audits: Know Your Rights and How to Appeal
Building and sustaining a well-maintained compliance program creates strong defense strategies to combat the non-specific denials or lack of clinical judgment by payers and their contracted auditors.
OIG Workplan: What You Don't Know is a Compliance Risk
The OIG Workplan describes areas of intended investigation by the OIG, including specific COVID-19 regulations. This webcast describes those areas in order for providers to align, prioritize and focus their compliance efforts.
Learn Secrets to Avoid COVID-19 Claim Denials
Dr. John K. Hall identifies a wide range of risks for COVID-19 related claim denials that are generally not considered by revenue cycle, utilization management and case management teams that make providers "easy targets" for payers to deny claims or make appeals more difficult to achieve.
CMS 2021 Rule Update for Care Management and Utilization Review
The 2021 IPPS final rule, the 2021 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. Failure to comply leads to compliance, revenue and patient dissatisfaction risks.
Surgery: Know the Rules for Status, Location and Medical Necessity
Dr. Ronald Hirsch takes a deep dive into surgery status, medical necessity and site-of-service rules, which differ significantly among the various payers. By consistently applying these rules, you can prevent claim denials that eat away at vital revenue from surgical procedures.
How to Prevent and Manage Complex DRG Denials
This webcast provides a strategic approach to optimize the prevention and management of complex DRG denials, while mitigating immediate revenue loss and protecting the future financial health of your facility.