Recovery Audit Contractor Defense: Strategies for Coding Compliance
Product Description:
Join Stacey Levitt, RN, MSN, CPC, and Denise Morris, RHIA, CCS, as they discuss from real-world experience how to arm yourself with the coding knowledge you need to defend yourself against the RAC. These hospital professionals, who have significant coding and case management backgrounds, cover how you can have a proactive approach to ensure compliant coding practices.
Session Overview:
Our speakers will present:
- Analysis of top areas found in demonstration project, including debridement and septicemia
- How to conduct proactive audits
- How to ensure proper documentation for medical necessity
Bonus Resources Include:
- Physician query form
- Physician letter
- TMF one-day stay tool
- TMF patient status tool
- TMF one-day stay newsletter
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
About the faculty:
STACEY LEVITT, RN, MSN, CPC, is director of patient care management at Lenox Hill Hospital in New York City. She has a solid clinical nursing background in both critical care and public health. Her ongoing administrative experience includes over twenty years in healthcare management settings in New York and Pennsylvania. Her areas of expertise include utilization and denial management, reimbursement analysis, performance improvement, professional staff development, and project management. She is known for her in-depth knowledge of Medicare regulations and her passion for effecting increased efficiency, productivity, mastery of insurance coding rules, and realization of appropriate reimbursement. She is an expert in data management and analysis relating to hospital and physician reimbursement.
DENISE MORRIS, RHIA, CCS, is Senior DRG coordinator at Sarasota Memorial Health Care System in Sarasota, FL and has 23 years of experience in HIM, ranging from coding auditor for the Florida QIO to coding instructor. She is a former HIM director, and was part of a team that created a Physician Electronic Practice Management system.
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