Medicare Audit Defense & Medicare Appeals Education - $295 Webcasts
(*includes copy of presentation)


Join our industry-leading Medicare audit defense team and Medicare coverage criteria professionals for the nation's best Medicare audits and Medicare appeals webcasts!

Call or e-mail us today for registration at support@jdhcare.com or (303) 586-5003.

June 16, 2015 at 3:00p - 4:00p EST
ALJ Hearings - Update, Scheduling, Recoupment & Next Steps


The fallout continues....  It was inevitable...  ALJs are overloaded and the Office of Medicare Hearings & Appeals has suspended the assignment of ALJ hearing dates for almost 3 years!  65 ALJs and over 400,000 pending appeals - what did CMS think would happen?
Medicare has 1,000s of contracted auditors across-the-nation and CMS has contracted with for-profit audit companies with every possible incentive to deny payment.  CMS has recoupment rules that clearly and unequivocally deny due process to providers.  We've got a national budget that can't possibly pay all the bills.  In short, we've got a train-wreck.  This detailed presentation will address the ALJ hearing suspension, recoupment concerns and strategies for moving forward.


Please send your registration request and contact information to us via e-mail at support@jdhcare.com.  Registrations must be received no later than June 15 and you will receive an e-mail confirmation with sign-on information and password.  The cost is $295 per healthcare provider.


June 30, 2015 at 3:00p – 4:00p EST
Bringing It All Together - Medicare 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 2015 will 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@jdhcare.com.  Registrations must be received no later than June 29 and you will receive an e-mail confirmation with sign-on information and password.  The cost is $295 per healthcare provider.


July 14, 2015 at 3:00p - 4:00p EST
Home Health Agencies - Homebound Status, Certification, Skilled Nursing Care & Physical Therapy


This presentation will address home health agencies and Medicare’s ramped up efforts to attack perceived overpayments to providers.  Nationwide, ZPICs, RACs, SMRCs and MACs are out in full force to deny cases based upon homebound status, lack of certification, unnecessary skilled nursing care and medically inappropriate physical therapy services.  This is an outstanding presentation for home health providers and will focus on Medicare coverage criteria, responding to Medicare additional documentation requests and the filing of home health appeals.


Please send your registration request and contact information to us via e-mail at support@jdhcare.com.  Registrations and payment must be received no later than July 13 and you will receive an e-mail confirmation with sign-on information and password.  The cost is $295 per healthcare provider.


July 28, 2015 at 3:00p - 4:00p EST
Hospice Care and Terminal Illness Certification... how long is too long?


This presentation will address one of the most frustrating and "grossly inappropriate" audit focus areas on the current CMS workplan... provider payments for the certification of terminally ill patients that live longer than 6 months.  Medicare contractors - and ZPIC auditors in particular - have attacked providers who care for terminally ill patients that actually live longer than their diagnosis-driven, average life expectancy of 6 months.  Not only are these Medicare auditors arbitrarily denying cases where patients live longer than average, they are extrapolating the outcomes into the millions of dollars for select hospice providers.


Please send your registration request and contact information to us via e-mail at support@jdhcare.com.  Registrations and payment must be received no later than July 27 and you will receive an e-mail confirmation with sign-on information and password.  The cost is $295 per healthcare provider.


August 11, 2015 at 3:00p – 4:00p EST
Skilled Nursing Facilities - "Medical Necessity", MDS Documentation & Therapy Services


Under fire from Medicare audits, SNFs can be highly susceptible to losses from missing documentation, "medical necessity" requirements, therapy services and challenges relating to appropriately billed MDS components for Medicare Part A and Part B coverage.  This presentation will address a wide range of topics including responding to Additional Documentation Requests from Medicare and Medicare contractors, applicability of acute stay documentation, developing SNF appeals, performing self-audits and the major target areas where providers struggle to win ZPIC audit cases.


Please send your registration request and contact information to us via e-mail at support@jdhcare.com.  Registrations must be received no later than August 10 and you will receive an e-mail confirmation with sign-on information and password. The cost is $295 per healthcare provider.


August 25, 2015 at 2:00p - 3:30p EST
The Medicare Appeals Process for Healthcare Providers - How to Win!


This presentation will address issues associated with Medicare audit defense strategies, Medicare appeals and Medicare shadow audits - RAC appeals, ZPIC appeals, DOJ appeals, OIG appeals, MAC appeals, Medicare overpayment determinations and the Medicare appeals process. Through 2014, Jackson Davis has assisted providers in winning almost 90% of all Medicare appeals... and we will be in your corner! As CMS continues to ramp up auditing efforts, providers nationwide are spending tens of millions of dollars on legal fees, repaying hundreds of millions of dollars to CMS for conditional denials and being exposed to potential Medicare fraud allegations.  This discussion will provide an in-depth look at the Medicare appeals process and explore a wide range of opportunities for providers to proactively build winning Medicare appeals (RAC appeals, ZPIC appeals, etc.).  The old days of soft regulations and provider education are over - it is absolutely vital that providers understand how the game has changed.


Please send your registration request and contact information to us via e-mail at support@jdhcare.com.  Registrations must be received no later than August 24 and you will receive an e-mail confirmation with sign-on information and password.  The cost is $295 per healthcare provider.


September 8, 2015 - 2:00p - 3:30p EST
Physician E & M Coding and Use of Modifier 25 - Physician Offices & Hospitalist Inpatient Visits


This presentation will address a key focus area rolling out nationwide on the permanent Medicare audit program - Physician Evaluation & Management services & Use of Modifier 25 in both hospital and physician practice settings.  Several previous Medicare audits, error evaluations, probes and directives have highlighted a wide range of challenges regarding the accuracy of E&M visit definitions.  This discussion will provide an in-depth look at physician evaluation & management coding for inpatient hospitals services (CPT 99221 - 99223, 99231 - 99233) and established office visits (99211 - 99215).

Please send your registration request and contact information to us via e-mail at support@jdhcare.com.  Registrations must be received no later than September 7 and you will receive an e-mail confirmation with sign-on information and password.  The cost is $295 per healthcare provider.


September 22, 2015 at 3:00p – 4:00p EST
Percutaneous Coronary Intervention (PCI) & ICD Surgical Procedures - Inpatient or Outpatient?


This presentation will address one of the primary Medicare audit focus areas and specifically considers Medicare challenges to performing these surgical procedures in the "wrong setting".  Critical issues such as the Medicare 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@jdhcare.com.  Registrations must be received no later than September 21 and you will receive an e-mail confirmation with sign-on information and password.  The cost is $295 per healthcare provider.


October 6, 2015 at 3:00p – 4:00p EST
Inpatient Rehabilitation Facility - 2015 Medicare Coverage Criteria


This presentation will address Medicare Coverage Criteria for Inpatient Rehabilitation Facility admissions.  We will discuss the IRF "medical necessity" criteria and the full range of CMS documentation requirements for inpatient rehab providers.  This will be a detailed discussion of Medicare Benefit Policy Manual, Chapter 1, Section 110 and how MACs are applying coverage criteria to their audits.

Please send your registration request and contact information to us via e-mail at support@jdhcare.com.  Registrations must be received no later than October 5 and you will receive an e-mail confirmation with sign-on information and password.  The cost is $295 per healthcare provider.

​​Jackson Davis HealthCare

​RAC Audit Appeals | ZPIC Audit Appeals | UPIC Audit Appeals
(303) 586-5003 or support@jdhcare.com