Responding to CMS and Other Common Audits Affecting Healthcare Providers

Event Information
Product Format
Prerecorded Event
Conference Date
Thu, Aug 27, 2015
Length
90 minutes
Product Description

Practical Tips for Facing RAC and Other Medical Audits

 

In recent times, healthcare audits mainly by Medicare seem to be on the rise. For instance, the Recovery Audit Contractor (RAC) program has been a source of frustration for practices. What types of audits can you expect in your practice, and how best to handle them?

Join expert speaker Gail Madison-Brown in this informative session to discuss the most common audits that healthcare providers and entities are likely to face. She will define and describe current RAC audits, Medical Record Review audits, CERT audits, NCCI Edits, Commercial Risk adjustments, HEDIS reviews, and Medicaid Integrity Contractor audits.

Gail will also discuss recommended internal management and response functions, including centralization and collaboration strategies to respond to these audits, as well as mitigation regarding deficiency findings. She will discuss elements to capture and provide to auditors and significance of satisfactorily reporting.

The attendee will gain knowledge regarding current audits, whether their practice or organization may receive particular audits and how to implement a centralized or streamlined process to respond to audits. Additionally, the attendee will receive tips on what types of information to prepare for an audit, and how to respond and strategies to mitigate some future audits. Plus, she will also discuss strategies to identify whether your practice or entity is at risk of a particular audit and how to prepare.

Session highlights:

  • Overview and description of each type of audit and who it affects, including links for additional contact information.
  • Example of how providers can conduct self-monitoring to prevent improper payments and correct deficiencies.
  • Insights on Comprehensive Error Rate Testing (CERT) Program.
  • Find out strategies to ensure audits are responded timely and properly.
  • Discussion on types of data/information to provide to an audit and how to respond to an audit deficiency findings.
  • Things to Think About When You Receive an ADR or Audit Notification.
  • Insights on elements to capture and provide to auditors and significance of satisfactorily reporting.
  • Strategies to identify whether your practice or entity is at risk of a particular audit and how to prepare.
  • Summary table depicting audit focus area, type of audit, and which auditing organization conducts the related audit.
  • Tips on what types of information to prepare for an audit, and how to respond and strategies to mitigate some future audits.

Who should attend

Physician practice administrators, hospital administrators, quality management professionals, Revenue Cycle Management professionals, CFO’s, Compliance professionals, Case and Risk Management professionals, HIM “Health Information Management professionals” and payor contract professionals

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

Order Below or Call 1-866-458-2965 Today

You can also order through:

1-866-458-2965

1-919-287-2643

About Our Speaker

Gail Ann Madison Brown

 

Gail Madison-Brown has extensive experience in healthcare compliance, revenue cycle, auditing and coding programs. She has over 25 years of experience as a Registered Nurse and many years as an attorney. She has spoken for professional healthcare organizations, as well as for state public health departments.

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