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Condition Code 44 vs. Condition Code W2: Understand When and How to Use Both webcast image Condition Code 44 vs. Condition Code W2: Understand When and How to Use Both

Wednesday, September 22

Learn the differences between Condition Codes 44 and W2, how they are billed, along with proper and compliant utilization of these billing codes, and how to improve existing processes to decrease the incidences and need to use them.

Price: $259.00
835: Learn the Secret Weapon to Prevent Denials webcast image 835: Learn the Secret Weapon to Prevent Denials

Tuesday, September 28

This webcast will show you how to use the information in 835 remittances to identify the root causes of payer denials and implement strategies to prevent those denials from occurring.

Price: $259.00
Observation Services: Learn to Report and Bill Compliantly webcast image Observation Services: Learn to Report and Bill Compliantly

Thursday, October 7

This webcast explains the compliant reporting and billing of observation services, including its use for Medicare, Medicare Advantage and commercial payers as well as the use for medical and surgical patients.

Price: $259.00
Is It Really Illegal? How to Avoid Unnecessary Refunds and Investigations webcast image Is It Really Illegal? How to Avoid Unnecessary Refunds and Investigations

"But I've heard that's illegal!" All too often, this kind of opinion is simply wrong. From this webcast, presented by David Glaser, you'll learn how to navigate tricky "legal vs. illegal" questions, enabling you to prevent needless refunds, baseless investigations and upset employees.

Price: $259.00
Optimize the Role of Care Management: Keys to Evaluate and Reposition Your Program webcast image Optimize the Role of Care Management: Keys to Evaluate and Reposition Your Program

Learn how to evaluate your current care management program and determine how to position care management in a proactive way to address admissions, medical necessity, patient throughput, and internal level of care readiness and external transition.

Price: $259.00
CMS 2022 Rule Update: Keys to Case Management and Utilization Review Readiness webcast image CMS 2022 Rule Update: Keys to Case Management and Utilization Review Readiness

Adhering to changes in the 2022 IPPS, OPPS and MPFS rules is not optional. Failure to comply puts you at risk for regulatory action, revenue shortfalls and patient dissatisfaction. If risk avoidance is important to your hospital — and it should be — you can't afford to miss this annual webcast.

Price: $259.00
Holding Feet to Fire: Making Payers, Auditors and Contractors Accountable webcast image Holding Feet to Fire: Making Payers, Auditors and Contractors Accountable

This RACmonitor webcast demonstrates a successful approach that marries clinical and legal arguments to support your claims, your documentation and your entitled rights.

Price: $259.00
Understand the Payer Playbook: How Communicate Acute Respiratory Failure Present in Bacterial and Viral Pneumonia to Avoid Denials webcast image Understand the Payer Playbook: How Communicate Acute Respiratory Failure Present in Bacterial and Viral Pneumonia to Avoid Denials

The payer playbook provides payers the strategies they need for denying claims. This webcast leverages that information to help you decode their denial approaches for bacterial, aspiration and viral pneumonia.

Price: $259.00
Examining the Advantages and Impacts of a Closed Observation Unit webcast image Examining the Advantages and Impacts of a Closed Observation Unit

Learn the key advantages of a closed observation unit at your facility and how to overcome challenges so your providers and nurses can give the appropriate level of care for observation patients during an exclusive RACmonitor webcast, led by Dr. Howard Stein, a physician advisor at Centrastate Hospital.

Price: $259.00
Things I Wish I Learned When I Started in Utilization Review webcast image Things I Wish I Learned When I Started in Utilization Review

This webcast is a back-to-the-basics tutorial on utilization management, recognizing that so often healthcare professionals come into utilization review with little or no training in Medicare regulations or payment methodologies.

Price: $259.00
Everything You Always Wanted to Know About Statistical Sampling but Were Afraid to Ask webcast image Everything You Always Wanted to Know About Statistical Sampling but Were Afraid to Ask

This RACmonitor webcast prepares you with knowledge about statistical sampling that you need to defend against external extrapolation audits, while helping you to create statistically significant samples for internal audits to ensure compliance.

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

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
Super Smart Strategies for Appealing Ridiculous DRG Denials webcast image Super Smart Strategies for Appealing Ridiculous DRG Denials

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
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

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 letters and present compelling arguments.

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