The Recovery Audit Contractor(RAC) program continues to evolve creating additional consternation for healthcare providers and new threats to their legitimate revenue. For many Healthcare Providers, just keeping up with new issues and changes is difficult enough. Join us for our next installment in our educational webinar series featuring renowned RAC appeals expert, Day Egusquiza. In this webinar, Day will provide the latest operational recommendations and best practices for successfully managing RAC audits and appeals, including the following updates:

  • Identify vulnerabilities in audit and decision points throughout the RAC process
  • Recent changes that may affect the appeals process including Transmittal 141
  • Practical recommendations for all five levels of appeal, based on recent experiences
  • Additional updates and findings on other payer audits
  • In addition, Day will use case study examples from recent RAC audits to illustrate the findings and recommendations.

Who Should Attend

  • Hospitals
  • Physicians and their staff
  • CFO, CEO
  • Chief Compliance Officer
  • Compliance Director
  • Chief Risk Officer
  • Director of Risk Management
  • Director of Regulatory Affairs
  • Hospital Legal/Regulatory Counsel
  • VP/Director of Revenue Cycle

About the Presenter

Day Egusquiza brings over 30 years experience in health care reimbursement, hospital business office operations, contracting and compliance implementation. Additionally, her experience includes eight years as a Director of a Physician Medical Management billing service and most recently completed an integrated business office between a hospital and a large physician clinic. She has been an entrepreneur in hospital and physician practice accounts receivable management and a leader in redesigning numerous organizations. Her work includes providing guidance as a compliance and APC educator while providing operational insight on the revenue cycle impacts of HIPAA. Additionally, she has been instrumental in researching and preparing national education on the impact of the Prescription Drug Benefit to hospitals and nursing homes. Ms. Egusquiza is a nationally recognized speaker on continuous quality improvement (CQI), benchmarking, redesigning, reimbursement systems and implementing an operational focus of compliance- both in hospitals and practices. She has been on the AAHAM National Advisory Council, HFMA National Advisory Council, HFMA faculty, CCH Reimbursement Advisory board and is a past President of the Idaho HFMA Chapter &; recently received the Lifetime Achievement Award. She has been highlighted in JCAHO's Six Hospitals in Search of Excellence, Zimmerman's Receivable Report, HFMA's HFM and Patient Account, AHIA Prospective, and numerous healthcare newsletters along with a contributing author to 2006 Health Law and Compliance Update. She received the Idaho Hospital Association Distinguished Service Award; for her legislative work and training on new indigent law. Attendees at HFMA's ANI rated her in the top 25%, earning her the 'Distinguished' Speaker recognition for each year she has presented.

Links to RAC and MIC Web Demos:

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