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Medicare Changes for 2018 - Webinar

  • ID: 4425727
  • Webinar
  • 90 Minutes
  • Lorman Business Center, Inc.
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Make sure your organization is ready for any changes that may arise within the realm of Medicare billing and coding.

This topic will focus on changes to the Medicare program in 2018. Without proper clinical documentation and coding many services from hospitals and physicians will be denied. Compliance programs will be reviewed to include internal auditing and education of staff. The number one denial in todays health care operations is medical necessity. Accomplished coders must pay attention to the detail of diagnostic coding to make sure payment is produced. Utilizing the OIGs yearly Work Plan will help facilities audit their own deficiencies and improve their compliance with governmental auditing programs. This past year there have been several entities auditing for CMS, (Centers for Medicare and Medicaid Services) to confront fraud and abuse. This topic will explain how these entities are working together to recoup payments from providers and Medicare administrative contractors.
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CMS Updates for 2018
  • RAC: Recovery Audit Contractors
  • CERT: Comprehensive Error Rate Testing
  • EGlobal Tech: Comparative Billing Reports
  • CMS Target Probe and Educate: Medical Review Strategy Program
  • OIG: Workplan 2018
Recovery Audit Contractors
  • High Risk Vulnerabilities for Physicians
  • Statement of Work
  • Updates on Status of Recovery Audit Contractors and Prepayment Reviews
CERT Program
  • No Documentation
  • Insufficient Documentation
  • Medical Necessity
  • Incorrect Coding
EGlobal Tech Comparative Billing Reports
  • Educating Providers About Medicare's Coverage, Coding, and Billing Rules
  • Reviewing Claims Before They Are Paid to Assure Compliance With Coverage, Coding, and Billing Rules
  • Reviewing Claims After They Are Paid to Identify and Collect Overpayments Made to Providers
CMS Target Probe and Educate
  • How TPE Tracks Improper Payments
  • Data Analysis and Billing Patterns
  • Education of Providers
OIG Workplan
  • How to Review Workplan
  • Tying Internal Auditing to OIG's Workplan
  • Entities That Audit
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Cheryl House, RMC, CHI - CCH Medical Consultants
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This webinar is designed for medical records professionals, coders, health information directors, billing managers, collections professionals, business and office managers, nurses, health care providers, clinic coordinators and administrators.
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