RACs and Inpatient Rehab: Understand the Top Demo Targets to Survive Audits
Product Description:
Audio Conference on CD or Audio On-Demand
Sponsored by Briefings on Coding Compliance Strategies
A program for inpatient rehab managers, financial and HIM professionals
presented on November 18, 2009
Inpatient rehab facilities are on the list for RAC—recovery audit contractors. On October 23, CMS issued a transmittal that outlined changes to coverage for services provided in inpatient rehab facilities in 2010. This has an impact on how you need to prepare for upcoming RAC audits and reviews.
The best way to get ready for RACs is to take a proactive approach. During this 90-minute audio conference, our speakers describe their RAC reviews and audits, tell you what mistakes they made, and how you can avoid them. You'll learn where to focus your own internal audits, develop processes that reduce risk and what steps to take to correct problem areas, and how to strengthen your appeals.
NOTE: This is an intermediate-level program. Purchasers should have a basic understanding of RACs and how the audit process works, and be familiar with their local requirements set forth in state hospital associations or RAC town hall meetings.
LEARNING OBJECTIVES
At the conclusion of this audio conference, you will be able to:- Support medical necessity for inpatient stays and ensure medical records stand up to RAC reviews
- Establish procedures for RAC appeals
- Formulate communication procedures related to RAC within your facility
- Establish financial tracking and perform a basic cost analysis for potential obligations
TAKE A LOOK AT THE AGENDA:
- What happened during the RAC demonstration program in California
- 2010 changes in IRF-PPS including that the HCFA ruling 85-2 is being replaced
- Clinical case study: What you need to audit
- Specific clinical areas and diagnoses the RAC targeted
- Evidence that the eight admission criteria and medical necessity are met
- Interdepartmental communication
- Transfer of complete charts when using hybrid medical records
- Financial case study: What process improvements do you need to make?
- Statistics and financial impact
- Mistakes and lessons learned
- Proactive policies and procedures
- The appeals process
- Appeals to administrative law judges
- Lay operational framework to ensure state of RAC readiness
- Perform audits
- Track appeals and strengthen communication between departments
- Analyze and plan for costs
- Improve success rate of appeals
A question and answer session follows the presentation
MATERIALS
In addition to the expertise and advice presented during this audio conference, you'll also receive a slide presentation of the program materials and an audit tool. These materials are provided with PDF links.
MEET THE SPEAKERS
Tanja Twist, MBA/HCM, is director of patient financial services at Methodist Hospital of Southern California in Arcadia, CA, and is responsible for oversight of the admitting and business offices. She has more than 20 years experience in healthcare management and is a member of the advisory board of The RAC Report from HCPro.Nancy Beckley, MS, MBA, CHC, is president of Bloomingdale Consulting Group in Brandon, FL, and consults on outpatient rehab. She has more than 20 years experience in inpatient and outpatient rehab as a clinician, manager, and administrator, and managed care administrator, and is the author of Managed Care for Rehab Providers Made Easy from HCPro.
Marion Watson, PT, MBA, is the current administrative director of Rehabilitative Medicine Services at Glendale Adventist Medical Center in Glendale, CA. She has more than 20 years of leadership experience in the daily operations and management of rehabilitation services in the acute hospital, outpatient, skilled nursing facility, and inpatient rehabilitation facility (IRF) settings.
CONTINUING EDUCATION
This program has prior approval of the American Academy of Professional Coders for 1.5 Continuing Education Units. Granting of this approval in no way constitutes endorsement by the Academy of the program, content or the program sponsor. Credits expire 11/18/10.
This program has been approved for 1.5 continuing education units towards fulfilling the requirements of the Certified Clinical Documentation Specialist (CCDS) certification, offered as a service of the Association of Clinical Documentation Improvement Specialists (ACDIS). Credits expire 11/18/10.
WHO SHOULD LISTEN?
Patient financial services managers and staff; finance managers and staff; rehab directors and managers; inpatient unit managers; and HIM directors, managers, and staff, all at facilities with inpatient rehab units AUDIO ON-DEMAND In addition to the regular purchase options for HCPro audio conferences, we are pleased to offer another option, 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.Product Types : Departments :
