New Medicaid RAC Program
Overpayment Target Areas and Tips to Prevent Large Take Backs
Product Description:
AUDIO CONFERENCE ON CD OR ON-DEMAND
Sponsored by: HCPro Watchdog Service
Presented on January 25, 2012
The new Medicaid Recovery Audit Contractor (RAC) program will be effective January 1, 2012. Government auditors have already secured billions of dollars in overpayments under the Medicare Recovery Audit Program. Now they are coming after your Medicaid payments.
During this 90-minute audio conference, our speakers review Medicaid RAC requirements and how they affect your organization, identify potential target areas, and explain how to integrate your Medicaid RAC process into your existing Medicare RAC efforts.
This is an intermediate-level program. Listeners should have a general familiarity with Medicaid.
LEARNING OBJECTIVES
- Explain the concept of the Medicaid RAC program
- Describe the differences between Medicaid RACs and the Medicare RACs
- Manage the Medicaid RAC process in conjunction with your existing Medicare RACs efforts
- Describe Medicaid RAC target areas
- Implement a process to prepare for Medicaid RAC audits
AGENDA
- Medicaid RAC program
- Timelines
- Statement of work
- Medicaid RACs vs. Medicare Recovery Audit Program
- Main differences, similarities
- Medicaid RACs vs. Medicaid Integrity Program
- Multiple-state factors
- Medicaid contractors
- Who are they?
- How can you influence your state Medicaid RAC program?
- When will the takeback occur?
- Strategies for implementation
- Integrate with your Medicare RAC workflow
- The key positions every hospital should have to prevent billing errors and provide appropriate documentation
- Structure your quality systems to manage post billing audits
- Involve medical staff in process
- Access your state hospital association for guidance
- Contact your Medicaid education representatives
- Develop simple links to state administrative code
- Trends
- A view from the field
- Medicaid RAC focus areas
- A question and answer session will follow the presentation.
MEET THE SPEAKERS
William L. Malm, ND, RN, CMAS, is a healthcare consultant for Craneware, based In Edinburgh, Scotland, with offices in Atlanta, GA. He has more than twenty years experience in a combination of clinical and financial healthcare. He specializes in operations surrounding chargemasters, including education, audit and post-implementation reviews.
Elizabeth Lamkin, MHA, has more than 20 years of hospital executive management experience in the non-profit, clinical teaching and for-profit healthcare sector. She is currently the President of PACE Healthcare Consulting, LLC, in Hilton Head, SC, which specializes in system quality, RAC, business intelligence and strategy for hospitals and healthcare providers.
Dr. James Berger serves as the Senior Medical Director who leads the retrospective Medicaid appeals team of EHR. Dr. Berger brings with him to EHR more than a decade of experience in active internal medicine practice and nearly a decade of healthcare law experience.
CONTINUING EDUCATION
AAPC
This program has prior approval of AAPC for 1.5 Continuing Education Units. Granting of this approval in no way constitutes endorsement by AAPC of the program, content or the program sponsor.
AHIMA
This program has been approved for 1.0 continuing education unit for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA).
Please note the expiration date for this audio is 1/25/13.
WHO SHOULD LISTEN?
Revenue cycle managers/directors, patient financial service directors, compliance officers, RAC coordinators, HIM directors, coding managers, CFOs, billers, auditors
BONUS MATERIAL INCLUDED IN YOUR MATERIAL PACKET
In addition to the expertise and advice presented during this audio conference, you'll also receive a slide presentation of the program materials.
AUDIO ON-DEMAND
Purchase a CD or an audio on-demand of the audio conference and listen when you can. It's also a perfect training tool for new staff or as a refresher for veteran staff.
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