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The Medicare RAC program is now rolling out nationwide and hospitals in the March rollout states need to be prepared to begin receiving record request and recoupment letters very soon. Each of the RACs have auditors in place for targeted specialties and they are data-mining now, looking for your vulnerabilities, both inpatient and outpatient. And, they are highly motivated – the RACs are paid based on the revenues they recoup. This aggressive approach will put your legitimate revenues at risk and you need to be prepared with a strong defense.
Join us for this free webinar that will focus on practical steps you can take now to prepare for RAC audits and ensure that your entire team is ready. The presentation will focus on
- Updates on the latest information from CMS and what this means for healthcare providers
- Review of vulnerabilities targeted by the RACs and practical recommendations for preparing in advance, and responding to your first RAC letters
- How to assess the potential impact on key departments in your hospital
- How to implement defense strategies, and conduct validation reviews.
- The critical success factors in selecting RAC Tracking Software
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Who Should Attend:
• CEO, CFO
• 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
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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.
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Sponsored by
Compliance 360 for Healthcare
Compliance 360 is the leading provider of enterprise governance, risk management and compliance solutions for healthcare providers. With these solutions, healthcare providers reduce risks, improve efficiencies and protect their brands using a single platform to address their comprehensive GRC requirements.
The Compliance 360 solution for healthcare addresses the need for policy management, centralized regulatory management including HIPAA, Medicare, EMTALA, STARK and others, Joint Commission Accreditation, OIG corporate integrity agreements (CIA), False Claims Act (FCA) Compliance, adverse-event management, contract management, surveys, remediation projects, medical records audit management for Medicare CMS RAC audits, self assessments, and enterprise risk management.
Industry leading healthcare providers that depend on Compliance 360 include Billings Clinic, Catholic Healthcare Systems, IASIS Healthcare, InterDent, Jackson Memorial Hospital, LifeLink Foundation, MultiCare Health System, Nassau University Medical Center, PeaceHealth, Saint Joseph's Hospital of Atlanta, St. Elizabeth Medical Center, St. Luke's Regional Medical Center and Spectrum Health. To learn more about the Compliance 360 solution for healthcare, visit www.compliance360.com/healthcare.
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Compliance 360, Inc., 1185 Sanctuary Parkway,
Suite 250, Alpharetta, GA 30004
Tel: 678.992.0262 Fax: 678.992.0266
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