Webinar Details

Rehab Medical Review & Auditing: Fundamentals of Success (All 4 Parts)

Speaker: Amie Martin, OTR/L, CHC, RAC-CT Clinical Consultant    Learn More^

Description:

Session 1:  September 18th

Session 2:  October 16th

Session 3:  November 27th

Session 4:  December 18th

Target Audience: Post-Acute PT, PTA, OT, OTA, SLP, Therapy Operators, SNF/LTC Administrators, Business Office

Course Description/Content Focus

This four part webinar series reviews recent trends of rehabilitation service medical review, common denial trends and proactive measures to reduce risk and improve outcomes during active medical review. Recent audit activity will be discussed under both part A and part B as well as Managed Care denial activity using actual denial decisions.

Projected Learning Outcomes/Course Objectives

At the conclusion of this course the learner will:

  1. Understand rehabilitation service medical review trends.
  2. Understand key areas of therapy documentation focus to address critical medical review issues impacting the likelihood of denial.
  3. Identify steps to reduce overpayment risk and improve documentation quality and program compliance.

Instructional Level:         Intermediate     Contact Hours Requested: 4.0

Series Content:

Session 1:  Medical Review & Auditing

Recent Developments in Medical Review, Compliance, Risk Assessment

  • TPE
  • PEPPER
  • Recent Case Trends
  • Identifying Rehab Risk Areas

Session 2:  Medical Review & Auditing – Common Payment Issues and Proactive Solutions (part 1)

Coding, Common Denials with strategies to overcome

  • Medical Necessity
  • Skilled Interventions
  • Coding Accuracy & Complexity
  • Managed Care Issues

Session 3:  cont. above (part 2)

Session 4: Medical Review & Auditing – Systems for Success

Training, Auditing & Monitoring (3rd Party / Internal Audits), ADR & Appeals Systems

  • Staff Development & Accountability
  • Effective Audit Systems
  • The Well-Prepared ADR
  • Tips for Appeals Success

This education activity has been submitted to the Compliance Certification Board (CCB)® and is currently pending their review for approval of CCB CEUs.

Pricing:

Elite Membership
$0.00
Basic Membership
$249.00
No Membership
$449.00

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