Wednesday, November 14

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.

Tuesday, November 6

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.

Tuesday, October 30

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.

Tuesday, October 23

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.

This crucially important webcast, conducted by famed appeals attorney Andrew Wachler will help determine the best program that will improve your chances to prevail at the ALJ —faster than you thought possible.

Mary Beth Pace of Trinity Health System and Jeffrey Pilger, MD at St. Elizabeth Healthcare in Edgewood, Kentucky lead this exclusive webcast and share their approach with you and your team for admitting TKR patients.

Join Dr. Ronald Hirsch as he reviews the approved indications, coverage determinations, and special requirements for ICDs, Watchman, and percutaneous aortic and mitral valve procedures.

Join Jill Knight as she reviews the current state of pacemaker coverage, and how to set up a compliant documentation and coding program to secure appropriate payment and defend against forthcoming RAC audits.

Cardiac procedures yield high rates of reimbursement. But to get all the reimbursement you deserve is tricky, challenging, and complex. That’s why RACmonitor is conducting this two-part series on steps your facility can take so you won’t leave money on the table.

Are you refunding Medicare for claims that did not meet evaluation and management (E&M) guidelines? Register now to attend this live webcast and learn why that isn't necessarily the best way to lower your organization's risk.

Rita Bowen, a nationally recognized healthcare privacy expert, will report on the latest initiatives by the U.S. Department of Health and Human Services' (HHS) Office for Civil Rights (OCR), including updates on the HIPAA Audit Program, patient access guidance, and resolution agreements.