Catalog Number : cca1819
Title : RAC Documentation and the Prepayment Demonstration
Speaker : Duane Abbey

Webplay Recording Date : 9-25-2012
Webplay Price : $ 200 for two weeks viewing

Webinar Overview:

What is the CMS Prepayment Demonstration Project? What kinds of documentation should be included in order to meet RAC demands? These questions and more will be discussed during this Webinar.

Target Audience:

All personnel involved with compliance, coding, billing and reimbursement, financial analysts, health information management personnel, financial personnel, patient financial services personnel, chargemaster coordinators, service area personnel, physicians and practitioners

Webinar Objectives:

• Briefly review the current status of the RAC program
• Discuss the RAC prepayment auditing program
• Discuss current and possible future issues for prepayment review
• Discuss the documentation process for various types of services
• Differentiate clinical document from payment documentation
• Understand that documentation must be clear, concise and convincing
• Discuss the need for physicians to proactively document more extensively

A few of the Topics that will be covered:

• RAC Overview
  • Current Status of the RAC Program
  • Key Issues Being Addressed by the RACs
  • Current Status of the RAC Prepayment Audit Program
• The RAC Prepayment Demonstration Project
  • Initial Issues and Associated Processes
  • Mechanics of Prepayment Audits
  • Future Cardiovascular Issues
  • Future Orthopedic Issues
• Documentation and Auditing
  • Auditing Guidelines
  • Attributes of Good Documentation
  • Prospective Documentation
  • Retrospective Auditing
• Payment Documentation
  • Clinical Documentation
  • Organizing Narratives for Payment Purposes
  • Developing Documentation for the Auditors
  • Assuring Coverage and Payment
  • National Coverage Decisions (NCDs)
  • Local Coverage Decisions (LCDs)
  • Integrating into RAC Appeals Documentation
• Case Studies
  • Cardiovascular Services
  • Orthopedic Services
  • Other Risk Areas
• Sources for Further Information

Attendance Certificate:

• Must attend the entire Webinar and complete a Webinar critique to receive a 1.5 Hour Attendance Certificate for each program.

Full tuition is refunded immediately on request if the participant has not been sent the program materials and instructions. Once the instructions (including access codes) have been sent, a full refund will be issued only after the program runs and it is verified that the participant did not access the program.