Webinar on Demand: Managing RAC Responses in the Physician Practice
CHIA Product Code: WEB186
Webinar Date: March 18, 2020
The California Department of Health Care Services (DHCS) and the Centers for Medicare and Medcaid Services (CMS) has contracted with Health Management Systems, Inc. (HMS) to act as the Recovoery Audit Contractor (RAC) for California. According to the DHCS website, “HMS’s mission is to help protect the integrity of government sponsored health and human services programs.” As a RAC, HMS works to identify, audit, and recover improper Medcaid payments for Fee-for-Service and managed care populations. HIM professionals are challenged with navigating and managing this complex environment
This webinar will provide attendees with clarification on:
- Who is HMS
- Does HMS conduct Medi-Cal or Medicare audits
- Are the notifications paper or electronic
- Subrogation demands when Medi-Cal is secondary payer
- What if the patient’s coverage is Medicare/Medi-Cal
- Are the Additional Documentation Required (ADR) letters for hospital or private practice records
Who Should Attend
Revenue Cycle Directors and Managers, HIM Directors and Managers, CDI Directors and Managers, CDI Specialists and Leaders, and CFOs. Professionals in inpatient and outpatient settings.
This program has been approved for 1.0 continuing education units (CEUs) for use in fulfilling the continuation education requirements of the American Health Information Management Association (AHIMA) and Board of Registered Nursing (BRN). Approved by American Academy of Professional Coders (AAPC) for coding-related programs only. HIIM Domain: Revenue Cycle Management
Diane Brooks, RHIT, CCS-P
Compliance Auditor/Educator, Central California Faculty Medical Group
Diane has been an HIM professional for over 20 years and for the past eight years she has worked in the physician practice environment in a large multi-specialty group with several areas of focus including: E/M documentation in a teaching setting, ROI practice acquisitions and closures, HIPAA privacy education and compliance, claims review and RAC response compliance.
About Webinars on Demand:
CHIA offers Webinars on Demand, which are available for separate purchase after the live Webinar has been presented. This convenient format consists of the full 60-90 minute recorded presentation, distributed handout, and accompanying Continuing Education Unit (CEU) certificate. Each Webinar on Demand is only available for purchase and access for one year after the original recording date. After purchase, a Purchase Confirmation will be sent to the purchaser’s primary email address and will contain the access links.