Get Ready for RACs: Tips, Tools, and Techniques for Long-term Care Providers

AUDIO CONFERENCE ON CD OR AUDIO ON-DEMAND

Sponsored by: Medicare Boot Camp—Long-Term Care Version

presented on September 9, 2009

During the three-year Recovery Audit Contractor (RAC) demonstration, 96% of the improper payments identified were deemed overpayments to providers, resulting in take-backs, while only 4% were considered underpayments.

What steps are you taking to protect your facility before and during a RAC review?

Chances are you will go through a RAC review eventually. Get prepared now.
Listen to HCPro and speakers Wayne van Halem, AHFI, CFE, and Karen Connor for the 90-minute audio conference Get Ready for RACs: Tips, Tools, and Techniques for Long-Term Care Providers. During this program, our speakers offer strategies to implement internal controls that help you create a triple check process, prepare your staff, and prevent take-backs.

Invite your entire staff for one low price!
Listen to two experienced speakers sharing two different perspectives for a well-rounded approach to avoiding a RAC review and protecting your facility during a RAC review.

At the conclusion of this program, participants will be able to:

• Identify what the RAC program is, what triggers a RAC review, and outcomes of the demonstration
• Recognize frequent billing issues and errors
• Implement solutions to common billing errors
• Identify what the facilities rights are with the RAC program and how to handle a RAC review

TAKE A LOOK AT OUR AGENDA

1. What is the RAC program?
   1. Demonstration outcomes
   2. Timeline for implementation
   3. Triggers
2. Identify billing issues
   1. Wrong days billed
   2. Incorrect modifier
   3. Incorrect Ancillary Charges
   4. Documentation errors
   5. Incorrect Coding
3. Solutions
   1. Triple check process
      1. Staff meetings
      2. Communication
      3. Internal auditing
   2. Know how your data compares
4. Facilities rights
   1. Adverse outcomes
   2. Deadlines
   3. Provider perspective
5. Q & A

MEET THE SPEAKER

Wayne van Halem, AHFI, CFE, has built a career interpreting and understanding the nation’s preeminent healthcare entitlement program. His proven experience and sound counsel, captured in lectures and publications, has uniquely positioned him as a resource to partners involved in the administration, participation and oversight of the Medicare and Medicaid programs. Over the last 13 years, he has worked directly with Medicare as a Fraud Analyst, Medicare Fraud Information Specialist, Sr. Investigator, and Statutory Appeals Manager. In 2006, he started his own consulting company and his practice provides counsel and leadership to healthcare providers, attorneys, government agencies, and Medicare contractors on issues related to Medicare audits, investigations, medical reviews, appeals, compliance, enrollment, billing, and education.

Karen Connor has a Masters Degree in Health Care Administration. Ms. Connor has worked in long-term care as a Director of Finance, Regional Director of Managed Care, Regional Director of Case Management and Director of Business Operations. These roles have enabled Karen to become an expert in all facets of the long-term care industry. Ms. Connor is presently the President and CEO of Connor LTC Consulting. Her consulting company, which provides seminars, educational series, operational modules and hands on training for all of the SNF needs, is currently assisting facilities on the RAC, MAC, CERT and PROBE audits. Her expertise in Medicare, Managed Care and State Medicaid Programs has helped facilities nationwide with billing, clinical documentation, audits and more importantly compliance. She is an Editorial Advisor to HCPro's Billing Alert for Long-Term Care and contributes to other publications throughout the United States.

WHO SHOULD LISTEN?

Administrators, therapists, billers, nurse managers, directors of nursing, clinical managers, floor nurses, MDS coordinators

BONUS MATERIALS INCLUDED IN YOUR MATERIALS PACKET!

In addition to the expertise and information presented during this audio conference, you'll also receive these helpful “take-aways” provided within your materials pack:

• Sample audit tool

These materials are provided with PDF links.

CAN'T LISTEN LIVE?

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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