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Surviving the RAC: Fighting Back Against Medical Necessity Denials
Webinar
July 21, 2009
Time: 12 - 1 pm CENTRAL TIME
Register for this event online:
July 21, 2009 ($295 per line)
Program Description
Approximately 85% of the overpayments collected by the RACs so far are from hospitals, and medical necessity documentation - or lack of it - was one of the main reasons auditors denied services. This webinar will provide you with clear guidance on how to properly document medical necessity so you can avoid unnecessary and costly denials.
Program Topics
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Medical Necessity - the Legal Standard
- Medical Necessity Documentation
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How do you respond to document requests?
- Who should be involved in the process?
- Can you include information outside of the record?
- Challenging Medical Necessity Denials
- Resources to consider referencing
- Strategies if you did not dot every "i" or cross every "t"
- Common Medical Necessity Denials
- Where the RACs are cashing in
- How to avoid the denials
Who Should Participate
CEOs, COOs, CFOs, CMOs, CNOs, All coding, billing and reimbursement staff, financial analysts, compliance officers, and legal counsel.
Faculty
Amy Fouts, Associate, McKenna Long & Aldridge LLP
Amy Fouts is an associate in McKenna Long & Aldridge LLP's health care group. Her practice focuses on a variety of litigation, regulatory and compliance issues. She advises clients on many aspects of health care law, with particular emphasis on fraud and abuse, corporate compliance, Medicare/Medicaid reimbursement, false claims, and other government investigation issues, and defense of allegations of False Claims Act, Anti-Kickback and Stark law violations.
The views expressed by the speaker do not necessarily reflect the policies or opinions or the Wisconsin Hospital Association.
Registration Information
Fee
$295.00 for one phone line per site
Please register only one name per connection.
Additional phone lines will be billed at $295.00 each.
How the Webinar Will Work
Dial-in instructions, on-line login instructions and any other reference materials will be emailed to each registrant approximately three days prior to the conference. If you do not receive them by this date, please email llittel@wha.org.
It is the responsibility of the registrant to access presentation materials prior to the day of the event. If your e-mail address changes, you do not receive an e-mail with instructions from WHA, or if you are unable to open presentation materials, please contact Lisa Littel at WHA two days prior to the event to allow time to address the issue.
Substitution, Transfer and Cancellation Policy
Cancellations received in writing up to five business days prior to an event will be given a full refund less a $50 processing fee. No refunds will be given for cancellations received less than five business days prior and day-of-program no-shows. Substitutions are accepted.
Register for this event online:
July 21, 2009 ($295 per line)
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