Medical Review - Key Steps in the ADR Process

Event Information
Product Format
Prerecorded Event
Conference Date
Wed, Apr 13, 2011
60 Minutes
Product Description

Don't wait - prepare your hospice BEFORE you're selected for Medical Review.

Medical review is an important part of the Medicare Integrity Program, and every provider should be prepared. CMS has contracted with MACs, RACs, ZPICs and CERTS to prevent improper payments before a claim is processed and also, to identify and recoup improper payments after the claim is processed.

Medical review for hospices focuses on Medicare coverage requirements and suspect claims could cause payment denials or even demands for repayment.

Join our hospice compliance expert, Roseanne Berry, MSN, RN for this 1-hour event that will get you prepared for medical review and teach you how to properly and effectively respond to medical review and ADR requests.

Event Agenda:

  • Areas of focus - find out which you need to know about and benefit from our stellar preparation tips.
  • Who's watching you? Learn about the different Medicare contractors out there, who they are, and how they differ from one another.
  • Medical review can have a significant effect on your hospice's resources. Can you handle increased costs, decreased census and increased discharges?
  • Fight back - learn about the appeal rights a hospice has to get a denied claim paid.
  • ALJ level takes so long to get to - is it worth it? You'll find out here …
  • Prepay vs. post pay audits - what's the difference and what does it mean for you? We'll tell you.
  • PLUS: You'll learn about the steps in progressive corrective action (PCA) and the various levels of appeals if you're denied payment.

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

Who should attend? Administrators, patient care managers, directors of patient care services, QAPI coordinators, compliance officers.

Order Below Or Call 866-458-2965 Today!

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About Our Speaker

Roseanne Berry - Hospice Billing Coding Expert

Roseanne Berry, MSN, RN With more than 25 years of operational, clinical and regulatory compliance leadership experience within the hospice and home care industry, Roseanne Berry, MSN, RN has a proven track record as a nursing and business professional.

In her current role as a hospice consultant and a founding partner of R&C Healthcare Solutions, and Hospice Fundamentals, Roseanne uses her in-depth expertise to provide a range of services,...   More Info
More Events By The Speaker

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