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Building a Better Appeal: Gain Proven Strategies for Improving Letters, Arguments and Process webcast image Building a Better Appeal: Gain Proven Strategies for Improving Letters, Arguments and Process

Tuesday, April 13

This RACmonitor webcast, led by David Glaser, provides you useful legal arguments for responding to denials with proven strategies for how to best package your appeals, including how to write effective appeal let-ters and present compelling arguments.

Price: $259.00
Super Smart Strategies for Appealing Ridiculous DRG Denials webcast image Super Smart Strategies for Appealing Ridiculous DRG Denials

Thursday, April 29

During this webcast you will learn behind-the-scenes information that will help you to autopsy the reason why the claims were denied which, in turn, will empower CDI initiatives at your facility to effectively appeal ridiculous DRG denials.

Price: $259.00
Condition Code 44: Learn How to Get it Right webcast image Condition Code 44: Learn How to Get it Right

Wednesday, May 5

Led by physician advisor Dr. Juliet Ugarte Hopkins, this webcast explains why case management and utilization review have incorrectly applied Condition Code 44 for nearly 20 years and demonstrates the correct and compliant way this controversial code should be implemented.

Price: $259.00
Unlocking the Riddle of Medical Necessitywebcast image Unlocking the Riddle of Medical Necessity

This webcast clearly defines medical necessity and how that concept is applied to procedures, admissions, and sites of service, while clearing up the most common areas of confusion.

Price: $259.00
TPE Audits: Learn to be a Smarter Responder webcast image TPE Audits: Learn to be a Smarter Responder

This webcast discusses the implications of Targeted Probe and Educate (TPE) audits in the context of other audits in the overall audit-enforcement landscape, plus how you can reduce your level of risk if your organization is targeted.

Price: $259.00
Acute Heart Failure: Successful Denial Appeal Strategies webcast image Acute Heart Failure: Successful Denial Appeal Strategies

DRG and clinical validation auditors are exploiting the confusion surrounding what is, and what isn't, acute heart failure. From Dr. Beth Wolf, you'll learn the most common reasons for heart failure claim denials and how to formulate an effective appeal, supported by key clinical indicators.

Price: $259.00
Acute Heart Failure: Coding, CDI and Appeal Strategies Set webcast image Acute Heart Failure: Coding, CDI and Appeal Strategies Set

This two-part webcast combo from ICD10monitor and RACmonitor, presented by Dr. Beth Wolf, covers must-know clinical aspects of acute heart failure, plus deep dives into the validation of DRGs and clinical documentation, as well as strategies for claim denial appeals.

Price: $363.00
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Implantable Medical Device Credit Reporting Webcast Implantable Medical Device Credit Reporting Still Under Fire: Avoid Getting Burned

This webcast explains how to save your facility hundreds of thousands of dollars in potential repayment and fines by correctly following CMS requirements for medical device credits and managing patient accounts when devices are billed.

Price: $259.00
Readmissions Prevention: Learn Compliant Strategies to Avoid Penalties webcast image Readmissions Prevention: Learn Compliant Strategies to Avoid Penalties

This webcast analyzes readmissions from several different perspectives including the finances of prevention for Medicare and commercial patients, the various payer programs dealing with readmissions, the right and wrong way to avoid readmissions, and how to know whether your facility is doing it right

Price: $259.00
COVID-19 Provider Relief Funds: How to Avoid Audits  Webcast COVID-19 Provider Relief Funds: How to Avoid Audits

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.

Price: $259.00
ABNs and HINNs: Stay in Compliance During COVID-19 Webcast ABNs and HINNs: Stay in Compliance During COVID-19

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.

Price: $259.00
COVID-19 Clearing up Regulatory Confusion Webcast 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.

Price: $259.00
Top 10 Compliance Targets in 2021: Take Action to Reduce Your Risks Top 10 Compliance Targets in 2021: Take Action to Reduce Your Risks

Compliance expert Michael Calahan has been scrutinizing the payer and regulatory landscape and is prepared to share his findings of likely 2021 compliance targets. He’ll also lay out best practices that will help you prepare for or, better yet, avoid audits.

Price: $229.00
Outpatient Therapy: 2021 Strategies for Survival 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.

Price: $229.00
Master the 2021 Inpatient-Only List: Get Surgery Status Determinations Right webcast image Master the 2021 Inpatient-Only List: Get Surgery Status Determinations Right

In this RACmonitor webcast, Dr. Ronald Hirsch examines the inpatient-only list for 2021 and presents a logical process to evaluate all surgeries to determine the correct status and to support that with proper documentation.

Price: $229.00
Inpatient vs. Observation Documentation: Learn A Proven Method for Reducing Denials and Revenue Loss webcast image Inpatient vs. Observation Documentation: Learn A Proven Method for Reducing Denials and Revenue Loss

This webcast demonstrates how to improve physician documentation to reflect the level of care that determines the patient status—inpatient versus observation. Knowing the difference can avoid claim denials and revenue loss.

Price: $229.00
Learn Strategies to Stop AKI Revenue Leaks webcast image 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.

Price: $229.00
Payer Audits: Know Your Rights and How to Appeal webcast image 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.

Price: $229.00
IRFs in the COVID-19 Era: Learning Hard Lessons, Preparing for the Future webcast image IRFs in the COVID-19 Era: Learning Hard Lessons, Preparing for the Future

Across the country, IRFs were blindsided by the COVID-19 pandemic. Angela Phillips, one of the nation's leading IRF authorities, will share her appraisal of the various responses, as well as how to prepare for the next public health emergency.

Price: $229.00
OIG Workplan: What You Don't Know is a Compliance Risk webcast image 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.

Price: $229.00
Learn Secrets to Avoid COVID-19 Claim Denials webcast image 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.

Price: $229.00
SNFs & COVID-19: New Audits Coming Soon webcast image SNFs & COVID-19: New Audits Coming Soon

SNFs face hundreds of COVID regulatory exceptions that will be eliminated upon the expiration of the PHE. Audits will follow.

Price: $229.00
CMS 2021 Rule Update for Care Management and Utilization Review webcast image 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.

Price: $229.00
Surgery: Know the Rules for Status, Location and Medical Necessity webcast image 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.

Price: $229.00
Healthcare Pricing: Setting Hospital and Clinic Fees to Maximize Revenue and Minimize Risk webcast image Healthcare Pricing: Setting Hospital and Clinic Fees to Maximize Revenue and Minimize Risk

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.

Price: $229.00
Demystifying Inpatient vs. Observation and the Condition Code 44 Process webcast image Demystifying Inpatient vs. Observation and the Condition Code 44 Process

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.

Price: $229.00
How to Outflank Capricious and Arbitrary Medical Necessity Guidelines from Payers webcast image How to Outflank Capricious and Arbitrary Medical Necessity Guidelines from Payers

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.

Price: $229.00
COVID-19 Charging and Billing: Increase Accurate Claims and Protect Reimbursement webcast image COVID-19 Charging and Billing: Increase Accurate Claims and Protect Reimbursement

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.

Price: $229.00
Proven Strategies for Preventing and Appealing Acute Respiratory Failure Denials webcast image Proven Strategies for Preventing and Appealing Acute Respiratory Failure Denials

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.

Price: $229.00
Learn How to Prepare For and Defend Against Post-Pandemic Audits webcast image Learn How to Prepare For and Defend Against Post-Pandemic Audits

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

Price: $229.00