The mention of "RAC audits" can have you frantically searching for the last Aspirin prescription you took for your headache. Let’s face it: almost everyone in the healthcare sector is affected by the RAC program. And yet, most continue to remain in the dark about the key issues and objectives of the RAC program, the new RACs, the fuss about the ‘Over 2-Midnights’ rule, and what the future holds for hospitals and physicians.
Join healthcare expert Duane C. Abbey in this instructive session to catch up on the latest changes to the RAC and other federal auditing programs, as well as the status of RAC activities in the light of new contracts, scope of work, and several RAC approved issues. Abbey will also discuss the issue of medical necessity for inpatient admissions, and clearly explain the 'Over 2-Midnights' rule, including the reason behind CMS’ decision to involve the QIOs in it.
Abbey will discuss the pressing matter of the humongous backlog of appeals at the ALJ (Administrative Law Judge) and MAC (Medicare Appeals Council) level, along with recent events surrounding the RACs. You will discover the real reasons behind the endless appeals and OMHA’s (Office of Medicare Hearings and Appeals) proposal to solve them – and whether it can use statistical extrapolation to address the backlog.
You’ll learn about the five new RACs; the scope of work in the wake of the new RAC contracts, and also the key issues where the RACs are finding the greatest recoupments. This session will equip you with all there is to know about Settlement Conferences, and how physicians and hospitals should work to have appropriate inpatient admissions. There’s a lot more in store for you, so do take a quick look at the session highlights and agenda below.
This session will bring you up to speed with:
Who Should Attend
Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.
- Sue Dill Calloway
Duane C. Abbey, Ph.D. is a management consultant and president of Abbey & Abbey, Consultants, Inc., which specializes in healthcare consulting and related areas. Duane earned his graduate degrees at the University of Notre Dame and Iowa State University and has more than 20 years of experience as a consultant. He performs various types of financial analysis involving business structuring, organizational development, enrolment and other financially related concerns of organizations....
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