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CMS Audit Update: RACs, MACs and Now PRF Contractors

CMS Audit Update: RACs, MACs and Now PRF Contractors webcast image


 
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Learn how to repel aggressive — possibly even unwarranted — attempts by RACs, MACs and now PRF auditors to deny or recoup Medicare and Medicaid payments.

Price: $259.00

Product Code: AR102821


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Description Biography
 

You already know about Recovery Audit Contractors (RACs) and Medicare Administrative Contractors (MACs), deployed by the Centers for Medicare and Medicaid Services (CMS) to uncover fraud, waste and abuse in the Medicare and Medicaid programs. But perhaps you're not as familiar (yet) with a recent addition to the oversight alphabet soup: PRF — Provider Relief Fund — audit contractors. So now, besides protecting your payments against MAC and RAC audits, you need to gear up for a fight to defend your use of emergency funds allocated under the CARES Act.

To help you prepare for and defend against all audits, whether initiated by a RAC, MAC or PRF contractor, we've enlisted the services of Medicare and Medicaid litigation attorney Knicole Emanuel for this RACmonitor webcast. With her insights and guidance, you'll learn how to repel aggressive — possibly even unwarranted — auditor attempts to deny or recoup payments. Just as importantly, Knicole will outline steps you can take to reduce your risks, such as clearly documenting billing compliance and implementing proven audit defense protocols.

Why This is Relevant:

If you accept Medicare or Medicaid payments, you will be audited. It's that simple. And the risks have only increased with PRF audit contractors on the prowl, not to mention a significantly beefed-up CMS Fraud, Waste and Abuse (FWA) budget. For 2022, our webcast presenter, Knicole Emanuel, expects a spike in audits of Medicare and Medicaid providers. The question is, will you be equipped to defend payments to which you're legally entitled?

Learning Objectives:

  • Understand the unique characteristics and rules of RAC, MAC and PRF audits
  • Identify the limitations of these audits related to statute of limitations, lookback periods and other criteria
  • Get briefed on the new extrapolation rules specific to Medicare audits and how to fight extrapolations
  • Learn effective defenses against each type of audit
  • Gain insights into the appeal process for Medicare providers

Who Should Attend:

Leadership in facilities that receive Medicare and/or Medicaid payments, including C-level executives (CEO, COO and CCO); general counsel; healthcare attorneys; compliance and regulatory officers, managers and directors; administrative staff; billing staff; audit defense teams; and denials and appeals coordinators.


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