Thursday, May 24

Learn strategies so you can play an active role in combating the extremely high rate of denials that most likely are occurring in your hospital.

Thursday, June 7

Confusion persists about a patient who is improperly admitted as inpatient. Clear up the confusion once and for all by reviewing all possible patient types and scenarios.

Tuesday, June 19

To avoid audits and possible take-backs, you need to understand requirements for coding and documenting pain management services in support of medical necessity for the services performed.

Thursday, June 28

Learn you how to assess your compliance risk by comparing procedure codes, RVUs, and modifier use against peer statistics.

This webcast will offer you and your team concrete strategies for streamlining your appeals process and improving the quality of your appeals.

Gain a better understanding of the documentation requirements for E&M services as well as the medical necessity implication of those services, especially in the Emergency Department setting. Learn how they work together to achieve a more accurate leveling of E&M services.

This crucially important webcast, conducted by famed appeals attorney Andrew Wachler will help determine the best program that will improve your chances to prevail at the ALJ —faster than you thought possible.

Mary Beth Pace of Trinity Health System and Jeffrey Pilger, MD at St. Elizabeth Healthcare in Edgewood, Kentucky lead this exclusive webcast and share their approach with you and your team for admitting TKR patients.

Join Dr. Ronald Hirsch as he reviews the approved indications, coverage determinations, and special requirements for ICDs, Watchman, and percutaneous aortic and mitral valve procedures.

Join Jill Knight as she reviews the current state of pacemaker coverage, and how to set up a compliant documentation and coding program to secure appropriate payment and defend against forthcoming RAC audits.

Cardiac procedures yield high rates of reimbursement. They’re also a target for auditing because that’s where the money is– big money! But to get all the reimbursement you deserve is tricky, challenging, and complex. That’s why RACmonitor is conducting this two-part series on steps your facility can take so you won’t leave money on the table–or have your reimbursement recouped.

Are you refunding Medicare for claims that did not meet evaluation and management (E&M) guidelines? Register now to attend this live webcast and learn why that isn't necessarily the best way to lower your organization's risk.

Rita Bowen, a nationally recognized healthcare privacy expert, will report on the latest initiatives by the U.S. Department of Health and Human Services' (HHS) Office for Civil Rights (OCR), including updates on the HIPAA Audit Program, patient access guidance, and resolution agreements.

In this crucially important webcast, Dr. Hirsch will review the current hot audit topics and provide practical ways to both avoid and appeal denials.

During this fact-packed session, Michael Calahan will walk you through all of the "sticky" areas of implantable medical device credit reporting requirements.

This webcast will provide concise statements and guidelines to assist outpatient therapy providers, regardless of venue, in understanding the applicable rules and regulations with CMS, as well as other large commercial payors who often replicate CMS rules for therapy policy.

Explore how conflict will be resolved and what it means to auditing and compliance people like you in the trenches.

If you're looking for total knee replacement on the inpatient-only list, forget it. Turn off your computer and call your auditing department. Total knee replacement is gone. But your troubles are just starting.

The good news: The OIG wants you to know what issues they’re looking at. The bad news: If during an investigation, they ask if you saw the plan and you say, “yes,” that signals you knew better. Say, “no,” and they’ll likely say you acted recklessly. It’s a Catch 22. Bottom line: You need to know what’s on their mind. And now you will, thanks to the upcoming OIG Work Plan Update webcast by healthcare attorney David Glaser.

This webcast —addressing a major compliance issue— offers you and your team an opportunity to make informed operational and financial decisions to keep your facility compliant.

The continued rise in whistleblower cases shows no signs of abating and healthcare professionals and consultants need to remain vigilant to fraud enforcement trends.

Former medical director of case management and medical necessity reviewer, Dr. Ronald Hirsch, has created an innovative teaching method to help you and others in case management understand the frustrations of your finance staff.

Back by popular demand, this year's E&M training series is conducted by prominent coding and documentation expert Deborah Grider — a recognized national speaker, consultant, and American Medical Association (AMA) author.

This webcast will address the best practices for improving and protecting reimbursement of ordering providers as well as the provider that performs and bills for sleep procedures.

The Centers for Medicare & Medicaid Services (CMS) have proposed removing total knee replacement from the inpatient-only list as of January 1, 2018. And CMS has also asked for comments on removing total and partial hip replacement from the inpatient-only list, allowing all three surgeries to be performed in ambulatory surgery centers as of January 1, 2019.

In what promises to be a game-changer for you and providers, Dr. Hirsch will go into detail on the use of observation in both medical and surgical patients. And, he will also review the proper billing methods for observation.

This presentation will benefit participants by providing an in-depth look at the changes to the Medicare appeals process set forth in the recent CMS Final Rule and key OMHA initiatives taking place at the ALJ appeal level. These Final Rule provisions and OMHA initiatives will have a significant impact on how you approach your Medicare appeals.

This critically important RACmonitor webcast will cover the six components of extrapolation, explaining the good and bad of each one.

The Two Midnight Rule is under constant evolution, be it changes to the rule itself as with the new exception for physician judgment, or the changes in the audit process going to a more targeted approach.

Medicare uses a complex risk-adjustment process when paying Medicare Advantage Organizations (MAOs) for services provided to Medicare beneficiaries who enroll in a Medicare Advantage plan. Of particular interest is the Risk Adjustment Data Valuation (RADV) and associated Hierarchical Condition Categories (HCCs) as you will discover during Part II of this crucially important webcast by author, educator, and consultant Duane Abbey.