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. For more information visit the NARA webinars page.
- Understand rehabilitation service medical review trends.
- Identify steps to reduce overpayment risk and improvement documentation quality and program compliance.
- Identify steps to reduce overpayment risk and improve documentation quality and program compliance.
Series Content Outline:
Session 1: Medical Review & Auditing
Recent Developments in Medical Review, Compliance, Risk Assessment
- 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 over come
- Medical Necessity
- Skilled Interventions
- Coding Accuracy & Complexity
- Managed Care Issues
Sessions 3: cont. above (part 2)
Sessions 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
Instructional Level: Intermediate
Contact Hours Requested: 4.0 (each part is 1.0-total is 4.0-must attend each to receive total)
Attendees can register for each session or all 4 session together. CEUs will be awarded per session after completion of the 4th session – unless attendee requests certificate prior to the final session. Sessions will be recorded and provided to attendees after each session. In order to be eligible for CEUs attendees must: register and log into each session with their name and email address, be active during the webinar and complete the assessment within 7 days of the session (not the series).
CEUs have been applied for through CCB, CHH; AOTA for OT and COTA; State of Illinois for PT and PTA; and ASHA for SLP.
Amie Martin, OTR/L, CHC, RAC-CT
Proactive Medical Review