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:
- Understand rehabilitation service medical review trends.
- Understand key areas of therapy documentation focus to address critical medical review issues impacting the likelihood of denial.
- Identify steps to reduce overpayment risk and improve documentation quality and program compliance.
Instructional Level: Intermediate Contact Hours Requested: 4.0
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:
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