Castle Rock Medical Group
Medicare RAC Audits & RAC Appeals - Continuing Education
Outstanding RAC References - Proven RAC Results - Unparalleled RAC Appeals Expertise

Medicare Audits & Medicare Appeals Education - $59 Webcasts

Join our industry-leading clinical auditors, compliance professionals and legal staff for the nation's best CMS audits and CMS appeals webcasts!

March 9, 2010 - 11:00am - Noon EST
On the CMS Audit Radar - Emergency Room Visits & Use of Modifier 25

This presentation will address a key focus area that is anticipated to be on the permanent CMS audit program radar - Emergency Room Visits & Use of Modifier 25.  Several previous CMS audits, error evaluations, probes and directives have highlighted a wide range of challenges regarding the accuracy of ER visit definitions.  This discussion will provide an in-depth look at ER visit definition, billing, claim submission requirements and the most recent CMS directives regarding modifier 25.

Please send your registration request and contact information to us via e-mail at support@racaudits.com.  Registrations must be received no later than March 8.  You will receive an e-mail confirmation with sign-on information and password prior to March 9.  The cost is $59 per healthcare provider, health plan, health law attorney, consulting organization or Medicare beneficary.

March 16, 2010 - 11:00am - Noon EST
Managing the Risk of CMS Audits & CMS Appeals - Medicare & Medicaid (RAC Audits, PSC Audits, ZPIC Audits, MIC Audits & One PI)

This presentation will address the wide range of ongoing CMS efforts to stop Medicare fraud, CMS audits & law enforcement fraud initiatives.  Congress has allocated an unprecedented level of financial resources to insuring adherence to CMS payment criteria by providers nationwide - Medicare RAC audits, Medicare PSC audits, Medicare ZPIC audits, etc.  Jackson Davis works closely with hospitals, physicians, inpatient rehabilitation facilities and physical medicine groups facing day-to-day challenges of both responding to audit requests and managing the risk of potential fraud allegations.  This is a critical education session for provider executive management and physicians. 

Please send your registration request and contact information to us via e-mail at support@racaudits.com.  Registrations must be received no later than March 15.  You will receive an e-mail confirmation with sign-on information and password prior to March 16.  The cost is $59 per healthcare provider, health plan, health law attorney, consulting organization or Medicare beneficary.

March 23, 2010 - 11:00am - Noon EST
CMS Appeals for Healthcare Providers - Applicability of the Treating Physician Rule & Other Legal Arguments

This presentation will address CMS audits, CMS appeals and the applicability of the "treating physician rule".  CMS and a wide range of judicial findings have determined the relative weight to be given to attending physician testimony, CMS payment criteria, independent medical evidence and other issues in pending appeal matters.  With Medicare RAC audits, Medicare PSC audits, Medicare ZPIC audits and Medicaid Integrity Contractor audits (MIC audits) rolling out nationwide and over 1 million RAC appeals being widely anticipated, it is critical that providers understand prior Medicare Appeals Council and U.S. court findings relating to these very important issues.

Please send your registration request and contact information to us via e-mail at support@racaudits.com.  Registrations must be received no later than March 22.  You will receive an e-mail confirmation with sign-on information and password prior to March 23.  The cost is $59 per healthcare provider, health plan, health law attorney, consulting organization or Medicare beneficary.

April 6, 2010 - 11:00am - Noon EST
Extensive OR Procedures Unrelated to Primary Diagnosis - MSDRGs 981 - 983

This presentation will address the CMS payment criteria for the appropriate submission of hospital claims being grouped to MSDRG 981 - 983 (extensive OR procedures unrelated to primary diagnosis).  Critical aspects of ICD-9 coding, HIS business rules and the claim submission process will all be discussed in detail.  This will be a great discussion for HIM leadership.

Please send your registration request and contact information to us via e-mail at support@racaudits.com.  Registrations must be received no later than April 5.  You will receive an e-mail confirmation with sign-on information and password prior to April 6.  The cost is $59 per healthcare provider, health plan, health law attorney, consulting organization or Medicare beneficary.

April 13, 2010 - 11:00am - Noon EST
Bringing It All Together - Medicare RAC Audits, Evidence-Based Coverage, Value-
Based Purchasing (VBP) & Pay-For-Performance (P4P)

This presentation will address Medicare's new reimbursement structure and how CMS is fitting all the pieces together.  FY 2010 will truly be a transformational year for providers and Medicare's EBM structure will be the biggest change to healthcare since the implementation of PPS almost 30 years ago.  This will be a great discussion for financial & executive leadership.

Please send your registration request and contact information to us via e-mail at support@racaudits.com.  Registrations must be received no later than April 12.  You will receive an e-mail confirmation with sign-on information and password prior to April 13.  The cost is $59 per healthcare provider, health plan, health law attorney, consulting organization or Medicare beneficary.

April 20, 2010 - 11:00am - Noon EST
The CMS Appeals Process for Healthcare Providers - How the Game Has Changed

This presentation will address issues associated with CMS audits / CMS appeals - RAC appeals, ZPIC appeals, Medicare overpayment determinations and the Medicare appeals process.

Over 118,000 RAC audit claim denials were appealed by providers in California, Florida & New York - CMS has prevailed in 66% of all RAC appeals cases.  This discussion will provide an in-depth look at the RAC appeals process and explore a wide range of opportunities for providers to proactively address RAC audits (as well as Medicare PSC audits, Medicare ZPIC audits & MIC audits).

Please send your registration request and contact information to us via e-mail at support@racaudits.com.  Registrations must be received no later than April 19.  You will receive an e-mail confirmation with sign-on information and password prior to April 20.  The cost is $59 per healthcare provider, health plan, health law attorney, consulting organization or Medicare beneficary.

April 27, 2010 - 11:00am - Noon EST
CMS Payment Criteria - Automated RAC Audit Focus Areas

This presentation will address all the major, automated RAC audit focus areas and their related CMS payment criteria (hospital / physician / physical medicine only - no DME session today).  Specific focus areas include Blood Transfusions, Untimed Codes (Physical Therapy initial and re-evaluation codes), IV Hydration Therapy, Bronchoscopy, once in a lifetime procedures and a handful of other major automated focus areas.  This discussion will include all major areas for each of the 4 regions.

Please send your registration request and contact information to us via e-mail at support@racaudits.com.  Registrations must be received no later than April 26.  You will receive an e-mail confirmation with sign-on information and password prior to April 27.  The cost is $59 per healthcare provider, health plan, health law attorney, consulting organization or Medicare beneficary.

May 4, 2010 - 11:00am - Noon EST
Inpatient Rehabilitation Facility - NEW 2010 CMS Payment Criteria

Detailed discussion of new 2010 IRF Regulations - This presentation will address CMS payment criteria for Inpatient Rehabilitation Facility admissions.  RAC audits recouped almost $60m in perceived overpayments from California IRF providers and we will discuss the CMS "not so vague" concepts of IRF medical necessity, preadmission screening criteria and required clinical documentation.

Please send your registration request and contact information to us via e-mail at support@racaudits.com.  Registrations must be received no later than May 3.  You will receive an e-mail confirmation with sign-on information and password prior to May 4.  The cost is $59 per healthcare provider, health plan, health law attorney, consulting organization or Medicare beneficary.

May 11, 2010 - 11:00am - Noon EST
Percutaneous Coronary Intervention (PCI) & ICD Surgical Procedures - Inpatient or Outpatient?

This presentation will address one of the primary CMS audit focus areas and specifically considers CMS challenges to performing these surgical procedures in the "wrong setting".  Critical issues such as the CMS Inpatient Only list, inpatient admitting criteria, documentation requirements and case management will all be discussed in detail.  This will be a great discussion for Case Management, HIM and financial staff.

Please send your registration request and contact information to us via e-mail at support@racaudits.com.  Registrations must be received no later than May 10.  You will receive an e-mail confirmation with sign-on information and password prior to May 11.  The cost is $59 per healthcare provider, health plan, health law attorney, consulting organization or Medicare beneficary.

May 18, 2010 - 11:00am - Noon EST
One Day Stays - Chest Pain & GI Diagnoses - Inpatient or Observation?

This presentation will address the CMS payment criteria for inpatient admission of Chest Pain and GI cases presenting to the Emergency Room for care.  One day stays or the "inappropriate admission" of these diagnoses has been the leading focus for CMS probes, evaluations and claim challenges for the past 15 years.  This discussion will provide an in-depth look at implementing CMS admission criteria and the use of Case Management professionals in the Emergency Room.

Please send your registration request and contact information to us via e-mail at support@racaudits.com.  Registrations must be received no later than May 17.  You will receive an e-mail confirmation with sign-on information and password prior to May 18.  The cost is $59 per healthcare provider, health plan, health law attorney, consulting organization or Medicare beneficary.