Home > Webcasts >

Understanding Medicare Self-Denial and Rebilling

Understanding Medicare Self-Denial and Rebilling webcast image

Alternative Views:

Don't miss this opportunity to operationalize the self-denial and rebill process to create a win-win-win situation for facility, your staff, and even the patients.

Price: $229.00

Product Code: AR042519

Webcast Format*:

Description Biography

The regulations from the Centers for Medicare and Medicaid Services (CMS) governing self-denials and re-billing are often difficult to understand and the additional information offered in subregulatory clarifications and on open-door forums usually leads to more confusion. It's a monumental effort to stay on top of these regulations, and on top of that increased audits by the QIOs mean your facility could be at risk. If you are not always sure how to properly handle one-midnight stays for your Medicare patients, you are probably not alone.

During this exclusive RACmonitor webcast, Dr. Alvin Gore and Cathi Charlberg will clear up the confusion about one-midnight stays, and how to properly status these patients. Furthermore, they will address other difficult questions surrounding: patients who did not expect to be billed; CFOs concerned over inpatient write-off cases, and; compliance directors who want to know why the PEPPER report lists your hospital as an outlier for one-midnight admissions.

Why This is Relevant:

Every MCR-participating facility utilizing the two-midnight rule has to be familiar with CMS-guided self-deny decision process resulting in subsequent rebilling. Recent and increased two-midnight audits by the QIOs mean your facility could be at risk if you are an outlier.

Learning Objectives:

By attending this webcast, you will learn how to…

  • Improve your compliance standards
  • Optimize income and cash flow
  • How to improve your workflow
  • Identify the appropriate status selection affecting patient liability
  • Provide additional education for physicians
  • Learn how to track, analyze for trends, and leverage the data

Who Should Attend:

Physician advisors, care management/utilization management, compliance staff, and hospital business office/finance staff.