RAC Readiness: Develop an Effective Audit Tracking System

AUDIO CONFERENCE ON CD OR AUDIO ON-DEMAND

Sponsored by:CPR Technologies

presented on January 6, 2009

Despite a delay because of contractor protests, RACs are inevitable, and the burden now falls on your facility to protect your reimbursement dollars. Medicare's Recovery Audit Contractors (RACs) collected more than $1 billion in improper payments to providers in the three-year demonstration project and will soon roll out nationwide. Analysts say the Medicare Trust Fund will be bankrupt in less than 10 years, and contractors will be aggressive in recovering overpayments.

Advice on preventing denied claims from those who have experienced a RAC audit

Discover tips and strategies to combat denied claims when you listen to HCPro's audio conference RAC Readiness: Develop an Effective Audit Tracking System. Attorney Linda M. Fotheringill, Esq., (Washington & West, LLC) specializes in Medicare audits and discusses locating problem areas in order to prevent future denials. Karen Feeley, (New York-Presbyterian Hospital) took part in the RAC demonstration project and provides an "in the trenches" perspective on RACs.

AT THE END OF THIS AUDIO CONFERENCE YOU WILL BE ABLE TO:

• Anticipate what to expect when RAC comes to your state
• Track your RAC claim process
• Craft an appeals process
• Select your RAC team
• Avoid denials in the first place by analyzing trends

AGENDA

• RACs – They're here!
• Brief overview: What happened in the demonstration project
• What's new in the permanent project?
• Preparing for the RACs
• Basic vs. mid-level tools
• Outsourcing vs. insourcing: Costs, advantages
• What a best-practice RAC tracking tool should do
• Effective action plans
• Electronic and manual approaches
• Physician buy-in: Get them to understand where you're coming from
• Other Medicare audits
• OIG Work Plan
• Audits that must be considered when planning
• What else is high on CMS' list?
• How other audits can be rolled into RAC team plan
• Appeals
• What's been working?
• Where do you start?
• From the trenches: NY Presbyterian case study
• How to lead your team
• What did they go after?
• Manage a successful appeals process
• Question and answer session

MEET THE SPEAKERS

Karen Feeley, Director of Network Patient Financial Services, New York-Presbyterian Hospital. Ms. Feely is responsible for auditing PFS internal controls, as well as PFS billing and collection compliance. She serves on several revenue enhancement committees throughout the NYPH network. In addition, she is the RAC liaison for the NYP/Weill-Cornell & Columbia campuses, responsible for tracking and reporting all aspects of the RAC Demonstration Project.

Linda M. Fotheringill, Esq., Washington & West, LLC. Ms. Fotheringill successfully assists hospitals across the country, overturning "hopeless" denials and generating millions of dollars in otherwise lost revenue. Her experience includes overturning RAC audit denials as well as other Medicare denials, particularly in the area of Inpatient Rehabilitation and short stay admissions. She has also represented clients in insurance contract disputes and medical malpractice litigation.

WHO SHOULD LISTEN?

• Patient financial service directors
• Revenue cycle managers
• Patient access managers
• HIM
• Case management
• Coders
• Billers

PROGRAM MATERIALS

Program materials are provided with PDF links.

AUDIO ON-DEMAND

In addition to the regular purchase options for HCPro audio conferences, we are pleased to offer another option, an audio on-demand. Audio on-demand allows you to download the program and play it back at your convenience through your computer or MP3 player. Purchase a CD or audio on-demand of the program 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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