Payer Audits: Know Your Rights and How to Appeal
Tuesday, November 3
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.
Learn Strategies to Stop AKI Revenue Leaks
Wednesday, November 11
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.
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.
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.
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.
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.
How to Prevent and Manage Complex DRG Denials
This webcast provides a strategic approach to optimize the prevention and management of complex DRG denials, while mitigating immediate revenue loss and protecting the future financial health of your facility.
CMS Discharge Planning Final Rule: The Impact of the IMPACT
Discharge Planning Conditions of Participation, the CMS Final Rule, is sure to be a game-changer for most hospitals and health systems. Learn how one of America's largest health systems is complying with the tough requirements mandated by CMS.
Outpatient Therapy Updates: 2020 Changes You Need to Know Now
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.
2020 OPPS Final Rule: New Opportunities, New Compliance Risks
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.