Drowning Under A Sea of Alphabet Compliance- RACs, MACs, MICs and ZPICs
Why Should You Attend:
- How does a hospital/provider proactively prepare for a CMS audit?
- How does a hospital effectively communicate the treatment was medically necessary and reasonable, and the services were provided in an appropriate setting?
- What authorities support Medicare Part B reimbursements after the denial of an impatient claim?
- How does a hospital effectuate Part B reimbursement?
- Could you successfully appeal a CMS finding?
If you are uncertain about the status of your compliance programs in relation to these questions then you must attend this webinar.
The success of any health care institution cruxes on the ability to understand the “ABCs” of CMS audits -RACs, MACs, MICs and ZPICs, and more importantly, how to successfully appeal a finding against their organization.
This 2-hour session will help you understand the language and expectations of CMS’ “Alphabet Audits.” We will discuss the legal issues specific to CMS auditing, by identifying legal issues specific to Providers, Hospitals and Health Systems, and design a plan in preparation of a CMS audit. The presenter will guide you in preparing an audit plan that maintenances your organization’s compliance program, and defines the mechanisms and protocols for your infrastructure that address the legalities of a CMS Audit.
Areas Covered in the Seminar:
This discussion will provide valuable insight and application to understanding the auditing landscape. The following will be discussed:
- Definitions and differences of RACs, MACs, MICs and ZPICs
- Vulnerability Identification
- Geographical Trend Analysis
- Impact Analysis
- Risk Determination
- Control Recommendations
- Appeal Strategies
