WEBINAR: RAC Update & New Issues for 2018

This workshop is devoted to reviewing the current status of Recovery Audit Contractor (RAC) activities along with due consideration to the new contracts, scope of works, and various RAC approved issues.

Included in this program will be recent events surrounding the RACs and the backlog of appeals at the Administrative Law Judge (ALJ) and Medicare Appeals Council (MAC) level. OMHA has proposed several different ways to address their enormous backlog of appeals including statistical extrapolation, settlement conferences, and administrative agreements.

One of the main issues is that of medical necessity for inpatient admissions. The inpatient issues have sparked the development of the ‘Over 2-Midnights’ rule.

CMS has also proposed changes to the appeals process in order to expedite the resolution of the backlog of appeals. The expansion of the RACs to the Medicare Advantage Programs is still in the works with the Risk Adjustment Data Validation (RADV) with a concentration on both comprehensive and condition-specific issues.

Target Audience
All personnel involved with patient status including physicians, clinical personnel, utilization review staff, compliance and management personnel, coding/billing employees, and all others involved with inpatient admission and observation services.

Faculty



Dr. Duane Abbey is a management consultant and president of Abbey & Abbey Consultants. For more than 20 years, Dr. Abbey has provided health care consulting services to hospitals, physicians, and medical clinics. The focus of his consulting has been in the areas of compliance, payment and delivery systems. In addition to his consulting, Duane is an invited presenter for hospital associations, medical societies and other groups. He has also published articles and books on health care topics. The speaker has no real or perceived conflicts of interest that relate to this presentation.
When
3/6/2018 12:30 PM - 3/6/2018 2:00 PM
Where
Webinar
United States

Program


Tuesday, 06 March 2018

 
Time
12:30 PM - 2:00 PM
3/6/2018 12:30 PM
Time
12:30 PM - 2:00 PM
3/6/2018 12:30 PM
Time
12:30 PM - 2:00 PM
3/6/2018 12:30 PM
Time
12:30 PM - 2:00 PM
3/6/2018 12:30 PM

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