Thursday, August 6

David Glaser provides hospitals and clinics answers to important pricing questions, as well as an overview of the new price transparency rule that will apply to hospitals on January 1, 2021.

Thursday, August 13

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.

Tuesday, September 15

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.

Juliet Ugarte Hopkins will ensure you fully comprehend the nuanced facts of patient status assignment and precisely what is needed to compliantly carry out a Condition Code 44.

This webcast exposes how some payers have manipulated admitting criteria by MCG and InterQual to deny claims for not meeting their arbitrary definition of medical necessity and provides a strategy to fight back.

This webcast will walk equip you with strategies for accurate charge capture and billing for COVID-19 related services and procedures, as well as plan to prepare for and better mitigate the risk of perceived fraudulent billing.

This webcast reveals how auditors are using incorrect and arbitrary data to deny claims for acute respiratory failure and how to prevent and appeal those denials successfully.

Attorney Knicole Emanuel explores the likely targets of post-pandemic audits and provides healthcare providers with tools and knowledge to defend themselves.

Dr. Hirsch provides the essential elements your hospital needs to achieve compliance with the new CMS prior authorization program and to ensure proper medical necessity documentation for these procedures, thereby protecting reimbursement.

This webcast explains how to mitigate compliance risks and revenue loss by using the correct patient status codes as identified in the Post-Acute Care Transfer (PACT) rule.

During this webcast, Nancy Beckley provides outpatient therapy providers with the facts, updates and resources to understand e-visits and telehealth temporary codes under the 1135 waivers while remaining compliant with other 2020 regulatory changes.

Learn how to effectively overturn clinical validation denials for malnutrition and encephalopathy by overpowering faulty payer and third-party review rationale.

Understand the rules and policy, while mitigating common misunderstandings surrounding the billing for incident-to and split-shared services.

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.

Michael Calahan explains what hospitals need to know about the "Two-Midnight Rule," how this rule impacts observation services, and how these services are informed by the federal expectations around short-stay admissions and the physician orders for inpatient admissions.

This webcast explains —in plain English— the Medicare regulation and the manual provisions for billing incident-to and split-shared services while clearing up common misunderstandings surrounding these services.

This webcast describes what you should do to mitigate exposure in dealing with the governmental and commercials payers who establish their own "hit lists" and "audit targets."

Basic concepts and compliant billing of observation services are reviewed during this webcast, including proper use of condition code 44, when observation is used and not used after surgery, and how to avoid excess hours denials.

Discharge Planning Conditions of Participation, the CMS Final Rule, is sure to be a game-changer for most hospitals and health systems. Learn how one of America's largest health systems is complying with the tough requirements mandated by CMS.

New and significant "must-know" changes to the Medicare program, including the correct reporting of credits for implantable medical devices and managing patient accounts when such devices are billed, are discussed in this webcast led by Michael Calahan.

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.

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.

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

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.