Proactive Strategies to Prepare for an Audit and Mitigate Expensive Overpayments

Format: On-Demand Webinar
Presenter: Amanda L. Waesch, ESQ.
Duration: 60 Minutes

Any healthcare provider who accepts Medicare and Medicaid is at risk for a regulatory audit. In other words, your claims will be audited for regulatory compliance, and if you are found noncompliant, you could owe hundreds of thousands or even millions to the federal or state governments.

This webinar will provide a foundational understanding of the various government and commercial payor auditors. We will explore helpful tips and tricks for implementing processes to assess requests for medical records and related audits. This webinar will explore proactive strategies to avoid audits and mitigate expensive overpayments.

Learning Objectives:

• Understand the various types of governmental and commercial payor auditors
• Implement a process for handling requests for medical records
• Understand do’s and don’ts when responding to requests for medical records
• Evaluate when to request assistance in the event of a third-party audit
• Implement proactive strategies to mitigate against audits
• Understand the appeals process when faced with an overpayment
• Implement a proactive appeals strategy to avoid being low-hanging fruit

Areas Covered in the Session:

• Review of government and commercial payor audits
• Understanding the various procedural steps to an audit
• Tips and tricks to responding to a medical record request
• Best practices for a compliant process
• Reviewing provider rights to appeal in the event of an overpayment
• Review of successful strategies to mitigate audits
• Review of recent audits and case law examples
• Live Q&A Session

Suggested Attendees:

• Compliance Officers
• Coders
• Billers
• Auditors
• Office managers
• Revenue Cycle Professionals
• Medical staff leaders
• Hospital executives
• Credentialing specialists
• Medical staff managers
• Chief Medical Officers
• Health Lawyers
• Safety and risk professionals
• Human Resources
• Supervisors/managers
• Compliance personnel
• Representatives of employees

About the Presenter:

Amanda Waesch has experience of 18 years and operates a national healthcare practice and is licensed in both Ohio and Florida. She primarily focuses her practice on healthcare, employment law, corporate law, and healthcare litigation and advises all types of employers, in particular healthcare providers, including, hospitals and physicians, on various matters.

She also chairs the firm’s litigation team that is primarily responsible for handling all reimbursement audits and appeals for her firm’s healthcare clients and heads up BMD’s Provider Relations, Audit, Appeals, and Negotiations Unit (PRAAN) which handles all-payer audits, appeals, overpayments and payment extrapolations.

After Registration: You will receive an email with login information and handouts (presentation slides) that you can print and share to all participants at your location.

System Requirement Operating System: Windows any version preferably above Windows Vista & Mac any version above OS X 10.6

Internet Speed: Preferably above 1 MBPS

Headset: Any decent headset and microphone which can be used to talk and hear clearly

Can’t Listen Live? No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience.

For more information you can reach out to the below contact: Toll-Free No: 1-302-444-0162 Email: support@skillacquireupdate.com