Thursday, February 7

This exclusive RACmonitor webcast will discuss how policy changes to the Hospital Readmission Reduction Program (HRRP), expected to come from CMS, could impact your hospital's compliance, reimbursement and future participation in Medicare and Medicaid.

Tuesday, January 29

This webcast will demonstrate why you could be mistakenly refunding money to the government that you should actually be keeping for your facility. Some listeners have actually saved millions of dollars after listening healthcare attorney David Glaser.

Thursday, January 24

This webcast will provide information on how Risk Adjustment Data Validation (RADV) audits —through the use of extrapolation of 200 charts—could cost your facility millions of dollars. Learn how to ward off auditors. Learn how to implement a compliance plan in order that protects your facility.

This webcast will focus on significant cases and investigations this past year. The focus will be lessons to be learned from government investigations, while also analyzing current OIG enforcement priorities. We will also discuss the 2019 Medicare Physician Fee Schedule.

New rules for therapy providers are effective Jan. 1, 2019. Without an understanding of the new changes impacting therapy services, providers are at high risk of committing documentation errors, leading to the submittal of claims with errors.

This webcast will include a review of the targeted probe and educate (TPE) process. During this webcast you will receive a timetable of important deadlines to be met if you are being audited. You will also receive tips for medical record preparation. And you will also learn about current audit targets.

This webcast will explain the direction of provider-based clinics in terms of reimbursement as well as how payments will be made for off-campus excepted clinics. Failure to understand these changes could result in your facility being a target for auditing and facing the loss of reimbursement.

Utilizing real-world case examples that illustrate correct patient status, this webcast will provide a practical review of all the rules surrounding patient status and how to apply them on a daily basis at your facility whether you are a newcomer to case management or a seasoned professional.

The RACs are back with a vengeance. Having received the green light in September from the CMS to conduct complex medical reviews, they are going after inpatient rehabilitation facilities (IRF) with an assault on Medicare claims.

What's the difference between an acute care stay or a SNF stay? And when is it safe to make an appropriate discharge? From this exclusive RACmonitor webcast you'll know how to get the patient to the right place for the right amount of time while avoiding an unsafe discharge or a denied claim.

The four leading causes of claim denials are respiratory failure, malnutrition, encephalopathy and sepsis. This RACmonitor webcast provides information to avoid denials, win appeals, and protect reimbursement when payers have downgraded these denial-prone DRGs on claims submitted by your facility.

Dr. Ronald Hirsch will explain the process of shared decision-making by describing case studies to help ensure compliance with the regulations and, moreover, to be prepared for more widespread adoption of this patient-centered concept.

Learn from real-world case study examples of inpatient and observation status.

You and your team will learn new payment regulations, changes in quality programs, changes in electronic health record (EHR) certification, and changes in the Merit-based Incentive Payment System (MIPS) program for physician use of EHRs.

Medicare Severity Diagnosis Related Groups (MS-DRGs) methodology will change, as it always does. But this time you’ll need to understand how these changes will impact your facility’s reimbursement. Take your coding skills to a new level of performance before the codes changes become effective October 1.

While CMS proposes a drastic overhaul to evaluation and management (E&M) coding, the agency is seeking comment from stakeholders. Join Shannon DeConda as she will discuss the proposed changes and potential impact to your organization.

Having case managers in the ED helps to determine the proper patient status while also identifying patients who are appropriate for placement into a skilled nursing facility (SNF) directly, instead of placing them into the hospital while searching for an SNF.

Take your coding skills to a whole new level of proficiency in applying the 2019 ICD-10-PCS code set. There’s a total of 78,881 ICD-10-PCS codes. The 2019 code set includes 392 new codes; 8 revision titles; and 216 deleted codes. Take your coding skills to a new level of performance before the codes changes become effective October 1.

You and your team will be able to master the new ICD-10-CM codes changes. As in past years, these diagnosis codes have been significantly high in number and in complexity. Take your coding skills to a new level of performance before the codes changes become effective October 1.

The all-new ICD-10-PCS/CM codes for 2019 will be implemented soon and you and your team will want to be the first to experience these new codes and concepts. Take your coding skills to a new level of performance before the codes changes become effective October 1.

In this exclusive RACmonitor webcast, Dr. Ronald Hirsch will review the IPPS Final Rule and provide hospitals a compliant interpretation of this new guidance illustrated with case examples. He will also provide an overview of the 2019 OPPS Proposed Rule with speculation on what the proposals will bring in 2019.

Malnutrition continues to be one of the most common audit triggers for Recovery Audit Contractors (RACs). Learn how to avoid audits and prevent denials when registering to attend this exclusive RACmonitor webcast.

Review the rules, the risks, the nuances, and a full discussion of weighing this risk for your organization when providing services as incident-to and/or split-shared.

Prepare for the new era of Medicare Advantage with inside tips on how to navigate denials of claims.

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

The Recovery Audit Contractors (RACs) have been approved to audit pain management injections. That is why this webcast is a must-see learning experience for helping your team avoid audits and take-backs for pain management services.

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.

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.

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.