Session: Hot Topics in Medicare Appeals, RAC Appeals, ZPIC Investigations and ADRs (26th Management and Leadership Conference, Navigating the Sea of Change)

Saturday, April 9, 2011: 10:00 AM-11:30 AM

Primary Presenter:

Rachel Hold-Weiss, RPA-C, JD

Co-Presenter:

Connie Raffa, JD, LLM

Area of Emphasis: Regulatory Issues
Learning Objectives:
1. Describe the appeals process and the functions of the various review entities
2. Identify common issues that are the subject of hospice appeals
3. Employ strategies to enable hospice providers to challenge a denial at any level of appeal

Winning an appeal depends on the hospice staff's knowledge of all of the appeal rules and processes as well as the appropriate documentation needed in clinical records. In this session, you will learn how to navigate through appeals and win, about a Medicare beneficiary's right to appeal when the beneficiary is being discharged or the Medicare benefits cease, expedited appeals and the added discussion period when challenging a RAC audit finding. Faculty will also review key terminology including QIO, QIC, MAC, ALJ and more.

See more of: 90-minute workshop

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