Combat RAC Denials: Strategies for Successful Appeals
Product Description:
AUDIO CONFERENCE ON CD OR ON-DEMAND
Sponsored by Revenue Cycle Institute
Presented on, August 22, 2011
RAC and other government auditor denials continue to mount up and it’s more important than ever to establish an effective appeal strategy.
During this 90-minute audio conference, our speakers provide step-by-step procedures, timelines, tools, and best practices to appeal denied claims. They focus on some of the most common RAC denial issues including readmissions, cardiac stents, one-day stays, and AICD placements. They cover case studies of successful appeals and discuss effective physician advisor involvement.
LEARNING OBJECTIVES
At the conclusion of the program, you will be able to:
- Identify the timelines and documentation limits for RAC appeals
- Implement appeals process tracking and management strategies
- Explain how to involve physician advisors in the appeals process
- Describe strategies for appealing denials for high-volume focus areas
THE AGENDA
- Appeals process
- Appeal timelines
- Discussion period
- Documentation for appeals and medical records
- Tracking the appeals process
- Tracking and management strategies
- Decision whether to outsource
- Correspondence management
- Hybrid records
- Case studies
- Real-life application of appeals
- Physician advisor involvement
- Medical necessity issues
- High-volume RAC focus areas
- Readmissions
- Cardiac Stents
- AICD placements
- One-day stays
- A question and answer session follows the presentation.
MEET THE SPEAKERS
Stacey Levitt, RN, MSN, CPC, is Senior Administrative Director of Patient Care Management at Lenox Hill Hospital in New York City. She has more than 20 years experience in healthcare management, including clinical nursing, utilization and denial management, reimbursement analysis, performance improvement, professional staff development, and project management.
Steven A. Greenspan, JD, LLM, is Director, Government Appeals & Regulatory Affairs at Executive Health Resources (EHR). Mr. Greenspan has more than 15 years of experience in health law, has strong knowledge of the formal Medicare Appeals Process, and was involved with the implementation of the Qualified Independent Contractor (QIC) program.WHO SHOULD LISTEN?
RAC coordinators, HIM directors/managers, revenue cycle managers/directors, UR committee staff members, case managers, compliance officers, HIM staff members, billing/reimbursement staff members
AUDIO ON-DEMAND
In addition to the regular participation options for HC Pro audio conferences—live, CD, or combination packages—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. It's also a perfect training tool for new staff or as a refresher for veteran staff.
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