Making An Airtight Defense Against RAC Denials
The RACs are posting more issues —— probing for weak points in your clinical documentation, looking for any vulnerability to deny major complications (MCCs) and/or co-morbidities (CCs).
Do you have an airtight defense to bolster your query practices? Just how sound is your Clinical Documentation Improvement Program?
Now with Medical Necessity an approved issue, there’s no turning back. Clinical documentation is the lynch pin. Either it’s complete. Or incomplete. Does your documentation reflect resources used to treat the patient? Knowing the difference makes this the definitive must-attend course.
During this important course, you’ll learn:
- The proper CDIP/query infrastructure — from policies to retention requirements.
- How to word non-leading queries for the most common diagnoses, conditions, or procedures
- Tips on how to prevent improper payment risk for "hot topic query blunders"
- Suggestions for a seamless transition from paper to electronic queries
- Effective measurement of your documentation improvement program."
- Key strategies for a sound query compliance audit program
Summary:
With RACs denying major complications and/or co-morbidities (MCCs) or complications and/or co-morbidities (CCs) due to non-compliant query practices, this is a must attend Webinar.
When is the last time your organization performed a "well-program” check-up? This Webinar will provide key strategies for CDI program oversight from review of necessary policies and retention guidelines.
A key takeaway is a section of the course on "how to write non-leading questions." The course ends with information on performance measurement and monitoring as well as strategies for an effective query audit methodology.
Who
should attend: Clinical Documentation Improvement Specialists (CDIP), CDIP Management, Coding Managers, HIM Directors, Coders, Compliance Officers, RAC Team Members
About Our
Presenter:
Carol Spencer, BA, RHIA, CCS, CHDA, Senior Consultant with Medical Learning, Inc. (MEDLEARN), brings more than 20 years of experience in Health Information Management, coding, teaching, data quality and operations. She is an accomplished teacher, author, and speaker covering subjects/topics such as MS-DRG, ICD-9-CM coding, compliance strategies, clinical documentation improvement and Recovery Audit Contractor preparedness.
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