RAC Audits in Region A: Strategies for success under DCS
AUDIO CONFERENCE ON CD OR ON-DEMANDSponsored by Revenue Cycle Institute
Learn what you need to know about DCS, the Region A RAC
Providers need to know what to expect from their RAC. During this 90-minute audio conference our speakers will provide specific information and strategic advice for dealing with DCS Healthcare (DCS), the RAC in Region A. You will learn strategies from the trenches and best practices to minimize the impact of the RAC program. .
Note: This program is one of four region-specific RAC audio conferences. Participants should have a general understanding of the RAC program and register for the program covering their region(s).
- DCS overview
- Background and point of view
- Contacts and project officers
- DCS in the demonstration project
- DCS targets
- DRG validation
- Cardiac catheters and short stays
- Medical necessity
- RAC strategies and approaches
- Discharge dispositions
- Automated reviews
- Learning from other RACs
- Tactics for providers
- Correspondence strategies
- Appeals and discussion period strategies
As always, a live question and answer session follows the presentation.
- Describe DCS current top target areas for RAC audits
- Explain how DCS’ participation in the RAC demonstration project may affect its tactics in the permanent project
- List strategies for appealing DCS claim denials and effectively using the discussion period
- Recognize potential approaches DCS may use to identify future audit targets
Stacey Levitt, RN, MSN, CPC, director, patient care management at Lenox Hill Hospital in New York City (New York City, NY) and has more than 20 years experience in healthcare management. Her areas of expertise include utilization and denial management, reimbursement analysis, data management, performance improvement, professional staff development, and project management.
Michael Taylor, MD, is senior medical director, Government Appeals and Regulatory Affairs for Executive Health Resources (EHR) in Newtown Square, PA. He is an expert resource for the Medicare appeals process and has worked closely with top hospital executives, physicians, and legal experts to institute a process of sophisticated, evidence-based medical necessity review of inpatient claims denied by the RACs.
BONUS MATERIAL INCLUDED IN YOUR MATERIAL PACKET!In addition to the expertise and advice presented during this audio conference, you'll also receive a slide presentation of the program materials. These materials will be provided prior to the program date via e-mail with PDF links. Please download the PDF files before the day of the program.
WHO SHOULD LISTEN?HIM directors/managers, revenue cycle managers/directors, RAC coordinators, UR committee staff members, case managers, compliance officers, HIM staff members, billing/reimbursement staff members, patient financial services, clinical documentation specialists.
AUDIO ON-DEMANDIn addition to the regular participation options for HCPro audio conferences—live, CD, or combination packages—we are pleased to offer an audio on-demand, which allows you to download the program and play it back at your convenience through your computer or MP3 player. Purchase an CD or audio on-demand or CD 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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