RAC audits have already corrected more than $1 billion in improper Medicare payments.  The corresponding commissions for RAC auditors are estimated at more than $200 million.  You need to be prepared to fight this onslaught - with proactive defenses and appeals strategies to keep your potential losses to a minimum. 

This free webinar will focus on practical measures that you can use immediately to manage the RAC audit appeals process.  The presentation will focus on:

• The current RAC claims review and appeal process with emphasis on critical deadlines and data requirements.  Each step in the process will be addressed:
  • Receipt of the intent letter;
  • Validation audits;
  • Identification and assessment of risks;
  • Tracking and trending ongoing process; and
  • All 5 levels of appeal.
• Assessment of resources and risk based on the appeal / no appeal decision.
• Key operational steps you can utilize to help ensure successful appeals.
• Aligning resources and establishing accountability across multiple departments.
• Advance preparation (the best defense is a good offense).  Operational approaches for conducting your own internal risk assessments.
• Quantification of the financial impact on individual departments, enabling you to focus on the most potentially costly claims.  The RAC auditors are looking for the most profitable claims you need to also.
• Review of Transmittal 141, CR 6183 published on 9-12-08;  Limitation on recoupment/935.

Be sure to have the transmittal in hand during your participation in the Webinar.  Click Here to download the Transmittal from CMS.

Please note that is a follow-up to the very popular webinar on Preparing for RAC Audits that was originally broadcast on August 21, 2008.  Click Here to access the 8/21 recording.

Who Should Attend:

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

About the Presenter:

Day Egusquiza brings over 28 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.

Additional RAC Training Seminars:
Join the AR Systems faculty as we teach Consumerism in Patient Financial Services with the added bonus of AR Systems, Inc.'s RAC Attack classes.  The pre-conference is offered for individuals/leaders who may be new to healthcare and are looking for a patient-financial services 101 class. The pre-conference is followed by 2 days of operational-focused education which will give you practical education and tools that you can immediately implement at your facility.

Remaining 2008 Locations and Dates:
-   Baltimore, MA: Nov 2-4
-   Phoenix, AZ: Dec 14-16

Click Here to learn more about the RAC Training Seminars.

Presented by: