The goal of medical review is to determine whether the services are reasonable and necessary, delivered in the appropriate setting, and coded correctly, based on appropriate documentation. This program by expert speaker Caroline Mullin will enable healthcare providers to provide quality healthcare through an understanding of the Medicare Reimbursement system in a skilled nursing facility.
Caroline will begin this session by discussing the goals of Medical Review and various Medical Review programs including Recovery Audit Contractor (RAC) and Carrier (Medicare Administrative Contractor or Fiscal Intermediary) Medical Review programs. Going further, she will divulge keys to responding to a medical record request as well as appeal tips and strategies.
The conference will cover:
Who should attend? CEOs, CFOs, Administrators, Nursing Management, Nursing Staff, Therapy Management, Occupational Therapists, Physical Therapists, Speech Pathologists and Business Office Managers
- Toni G. Cesta
Caroline Mullin, MS OTR/L is a Corporate Consultant and the Denial Manager for Harmony Healthcare International (HHI), an industry leader in Long-Term Care Consulting.
HHI is a premier Long-Term Care Consulting firm specializing in Reimbursement and Compliance. In her role,
Caroline has extensive knowledge in the areas of MDS 3.0, RUG-IV, Documentation, Therapy Program Development, state-specific Medicaid Case Mix and Denials Management. Academically
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