When
PART I - Thursday, October 12, 2017 at 1:00 PM EDT
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PART II - Friday, October 13, 2017 at 1:00 PM EDTAdd to Calendar
Where
This is an online event.
The ADR to Appeal Primer Webinar Series
This lighter version of the appeals process helps you gain peace of mind by learning what reviewers seek and how to respond to reviews. QIRT compliance expert, Joe Osentoski, brings together knowledge of the multiple types of medical reviews, how the responses are different, how to identify and handle denials, and appeals options and actions.
This lighter version of the appeals process discussion brings together knowledge of the multiple types of medical reviews (ADRs, Probe, ZPIC/UPIC, RAC, CERT), how the responses are different, how to identify and handle denials, and appeals options and actions. Join us as Joe Osentoski, RN, discusses much more on the review (ADR) process so that agencies are aware of the risks of each type of review.
The ADR to Appeal Primer, Part I
October 12, 1pm EST - $99
- Why reviews are occurring
- Who is doing reviews
- Differences between reviewers
- OIG "red flags" for review
- Types of reviews: ADRs, probes, audits
- Current CMS focus: Targeted Probe & Educate
- ADR requests from MAC/ZPIC/UPIC/RAC/CERT
- Responding to an ADR
- Probes and Results
The ADR to Appeal Primer, Part II
October 13, 1pm EST - $99
- Current denial trends
- Reading a denial
- Targeted Medical Review
- Appeals (Level 1 and Level 2)
- ALJ hearing preparation, attendance
- Financial concerns: extrapolation, recoupment
- Compliant charting
- Face to face requirements
REGISTER FOR BOTH AT A SPECIAL RATE: $149