2020 OPPS Final Rule: New Opportunities, New Compliance Risks
Thursday, December 5
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.
Outpatient Therapy Updates: 2020 Changes You Need to Know Now
Thursday, December 12
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.
Warning: Total Hip Could be Total Confusion
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 IRF Rules for 2020: Rough Seas or Smooth Sailing
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.
Learn How to Use the Most Powerful Weapon in Your Medicare Appeal
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.
Learn How to Prepare for Observation Audits by the RACs
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.
Use Patient Status to Stop Claim Denials
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.
How to Obtain Post-Acute Authorizations from Managed Medicare Plans
Learn how to leverage Managed Medicare insurers who are denying authorizations for inpatients requiring post-acute care. A more recent challenge is obtaining authorizations for long term acute care (LTAC), acute rehabilitation and subacute rehabilitation (SAR) which will be explained in this webcast.
CMS 2020 Rule Update for Care Management and Utilization Review
The 2020 IPPS Final Rule, the 2020 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 that become effective Oct. 1, 2019. Failure to comply leads to compliance, revenue and patient dissatisfaction risks.
New Rules from CMS about the RACs Will Impact You
You may think that you are adequately appealing your adverse decisions. But if you know the issues that even CMS believes exist regarding the RACs, you may be more successful in your appeals as you will discover during this webcast led by healthcare attorney Knicole Emanuel.
The Patient Notification Forms: Getting the Right One Right the First Time
This exclusive RACmonitor webcast demonstrates how and when to use the right patient notification form when communicating a patient's status. Using the wrong form or even the right form with incomplete information is a red flag to auditors who typically side with patients in case involving disputes.
Understanding Medicare Self-Denial and Rebilling
Every MCR-participating facility utilizing the 2-Midnight rule has to be familiar with CMS-guided self-deny decision process resulting in subsequent rebilling. Recent and increased 2-midnight audits by the QIOs mean your facility could be at risk if you are an outlier.
Appealing Clinical Validation Denials: A Team Effort
This webcast will review point-by-point how to optimize your organization's appeals process. From initial understanding of appeal processes available via contractual agreements to denial review and assessment and finally to effective appeal, you'll come away with a step-by-step map ready to implement.
Total Knee Arthroplasty: The Status Controversy Continues
Learn to determine the correct patient status for patients undergoing total knee arthroplasty. Failure to assign the correct TKA patient status could trigger potential RAC audits, claim denials and takebacks impacting facilities and physician practices as you will learn during this RACmonitor webcast.
How to Challenge Unreasonable Positions by Medicare Advantage Plans
This RACmonitor webcast walks you through some of the rules you are obligated to follow from private insurance companies, especially in light of rules governing traditional Medicare. From this webcast you will know when to push back, and strategies for making this relationship less frustrating.
New Strategies for Documenting to Support Quality
To thrive under CMS quality-based pay-for-performance program adjustments in FY2019, it is increasingly important for you to understand clinical documentation practices to ensure those practices support accurate reporting of quality metrics which are so essential in the reporting of public data.
Biggest RACs Changes Are Here: Learn to Avoid Denied Claims
This webcast will review the biggest and latest changes to RAC audits. And there are significant new changes to their efforts to deny claims and recoup reimbursement. And, after having returned $214 million to the Medicare program in 2016, they're looking for more money—no doubt yours—during 2019.