Recovery Audit Contractor Defense: Top Six Sessions
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Product Description:
Session Recordings from HCPro’s seminar March 19-20 in Phoenix, AZ
Recovery Audit Contractor Defense: A RAC Readiness Summit brought together experienced healthcare professionals from across the nation including providers from Florida, California and New York who have already been through the demonstration project. Now you can be a part of the experience and defend your organization against RAC takebacks.
Hear from experts around the country who have experience tracking and trending, sorting through the complex world of appeals, and putting solid processes in place to correct errant patterns. Plus each session offers a selection of tools to help you get going on your own path to RAC readiness.
Medicare’s Recovery Audit Contractor (RAC) demonstration program swept through six states taking millions of dollars from providers. Now you must prepare for the nationwide rollout of the permanent RAC program. Purchase the live recorded sessions from the Recovery Audit Contractor Defense and learn from experienced, RAC-tested hospital professionals.
Are you RACready?
- Have you conducted a proactive audit?
- Have you used data mining to identify risk areas?
- Is outsourcing for you?
- Do you fully understand the appeals process?
- Are you able to defend RAC denials?
- Have you heard from someone who has been through the demonstration program?
The RAC is coming to your facility, obtain the information you and your team need to be prepared. These invaluable session recordings will help you:
- Gain knowledge on the current state of the permanent RAC program
- Identify data mining opportunity to assess risk
- Manage medical necessity across all departments, including clinical staff
- Assess internal resources to operationalize RAC requests and appeals
- Create processes to conduct proactive coding audits
- Master the rules regarding one-day and short stays
Sessions include:
From the Field: A Panel Discussion
Our esteemed faculty will share their stories, experiences, challenges and victories with the RAC demonstration project. Their goal is to help you prepare by providing tested recommendations.
A Team Approach to Manage Medical Necessity
This session covers ways to integrate case management; reviewing physician orders for medical necessity; setting up criteria in the emergency department; ensuring that criteria are met for one-day stays and observation; proper use of the Medicare Secondary Payer Questionnaire; data mining opportunities to determine risk areas; components and typical documentation errors of rehab medical necessity; implications of RAC for rehab services admissions and documentation; and optimizing the role of case management and physician advisors
Insourcing vs. Outsourcing: Weighing Your Options
Our faculty will set the stage for the pros and cons of handling RAC requests internally or externally. This session addresses staffing requirements; ensuring a solid understanding of what’s in the medical record; and coordinating with physicians when appeal letters must be written using the insourced model. For the outsourced model, the session covers how to make the call to outsource the requests and appeals; and questions to ask when selecting a vendor.
Strategies for Coding Compliance
This session will cover analysis of top areas found in demonstration project, including debridement and septicemia; how to conduct proactive audits and ensure proper documentation for medical necessity.
Monitor One-day Stays Under RAC Scrutiny
One-day and short stays were heavily scrutinized in the demonstration program and will likely continue in the permanent program. In his session, Yvonne Focke, RN, BSN, MBA, and Robert R. Corrato, MD, MBA, will explore how you can help your organization put processes in place to admit appropriately; ensure appropriate physician documentation for medical necessity; create admissions monitoring by case managers; and enforce emergency department compliance with admissions criteria.
Mastering the Appeals Process
Our faculty provides a thorough discussion of how to appeal RAC determinations. The session will cover levels of appeal, choices regarding what to appeal, timelines and guidelines on operationalizing the process, as well as assessing what it will take financially and from a staffing perspective to do so.
Are you confident in a few areas listed above but need more information on others? If so, individual sessions are also available. Buy the whole package or just specific topics on the areas of most interest.
Click on the session title for more information and to purchase.
Bonus resources included with each session!
Click on the title of the session above to learn more about each session and bonus resources.
Who will benefit:
- Revenue cycle committees
- Patient access directors and managers
- Business office/PFS directors and managers
- Corporate compliance directors and managers
- Coding directors, managers, and specialists
- Case management directors, and managers
- Rehab directors and managers
- Physicians and physician advisors
- CDI directors, managers, and specialists
- In-house legal counsel
RAC Ready & Compliant
HCPro, Inc. has determined this program meets one or more of the following criteria:- The main topic contains substantive information about a RAC-identified error
- The program will help you in your appeals preparation
- The program will help you operationalize your RAC strategy/process
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