Beard Audio Conferences

The Demonstration Is Over: RAC Audits Expand Nationwide

What to Expect and Tips for Preparing Your Organization

Location: Your office or conference room (no need to travel!)

Date : Audio CD Available

Time(s):

  -   Eastern Time
  -   Central Time
  -   Mountain Time
  -   Pacific Time
  -   GMT

Hosted By : Beard Group Law and Business Publishers and Nightingale's Healthcare News

This conference will include:

Starting in March 2009, CMS has expanded the RAC audit program designed to detect and correct improper payments by the Medicare program to providers to healthcare providers in all 50 states.

Unlike any other CMS audit program, Congress requires Recovery Audit Contractors to be paid for their services through contingency fees. That means auditors will be looking for every misspent penny. During the three-year Demonstration Project that focused on only five states, RACs identified $992.7 million in alleged overpayments.

Whats your possible exposure? What can you learn from the providers whove already been audited? Listen to experts from EpsteinBeckerGreen on this 90-minute Audio CD (recorded late March 2009) that takes you inside CMS implementation of the now-nationwide RAC program.

Youll receive an in-depth discussion of the findings from the Demonstration Project, an explanation of RAC review procedures, and practical tips to prepare your organization for a RAC audit.

Specific topics include:

Whats the RAC program all about including what claims are subject to review, contractors review methods, and limitations on medical record requests

Lessons learned from the Demonstration Project, including RAC findings related to medical necessity and coding reviews

Proven procedures and strategies for appealing RAC audit findings

How to develop an action plan to prepare your organization for RAC audits

Who Will Benefit
Provider Executives
Compliance Officers
In-House Attorneys
Internal Auditors

Speaker(s):

	Chair: Rebekah N. Plowman Epstein Becker & Green
REBEKAH N. PLOWMAN is a Member of the Firm in the Health Care and Life Sciences and Litigation Practices in the firm's Atlanta office. Rebekah focuses her litigation practice on health care matters affecting providers, including government investigations, False Claims Act and Qui Tam actions, contract disputes and certification and licensure appeals before federal and state administrative tribunals. Her practice also focuses on health care regulatory issues, including fraud and abuse analysis for health care systems, ancillary providers and physician practices, issues affecting long-term care providers, Medicare/Medicaid reimbursement and certification, and regulatory compliance. Rebekah's clients include hospitals and health systems, long-term care providers, device manufacturers, private investors and other institutions that invest in or support the health care industry. She was selected by the editors of Nightingale's Healthcare News as one of the "Outstanding Fraud and Compliance Lawyers" of 2008 and is also listed in the Health Care Law Section of Chambers USA Guide. She currently serves on the Board of Directors for the Ovarian Cancer National Alliance. Prior to law school, Ms. Plowman was a registered nurse in the Cardiac Intensive Care Unit at Indiana University Medical Center.
	Christy Durden Jordan Epstein Becker & Green
CHRISTY DURDEN JORDAN is an Associate in the Health Care and Life Sciences Practice in the firm's Atlanta office. Christy focuses her practice on health care regulatory issues and health care litigation and represents a wide variety of health care organizations including hospitals and health systems, hospices, home health agencies, long term care providers, durable medical equipment suppliers, ambulatory surgery centers and physician groups. She also: * Represents providers in OIG/DOJ/FBI criminal and civil fraud investigations involving billing and coding issues, billing and payment practices, medical necessity issues, kickbacks and other related issues * Represents providers and suppliers in post-payment audits, including appeals to Qualified Independent Contractors and Administrative Law Judges * Represents providers in certification and licensure appeals * Advises providers on reimbursement issues under Medicare, Medicaid and other third-party payment programs * Assists providers in developing, implementing, revising and evaluating the effectiveness of compliance programs * Counsels providers on internal investigations * Advises providers regarding federal and state anti-kickback statutes and self-referral issues * Advices providers regarding privacy, security and HIPAA compliance * Conducts due diligence reviews for private equity firms * Advises providers in the planning and structuring of business arrangements Christy is a Registered Nurse and utilizes her clinical knowledge in addressing legal issues for health care providers.

The Demonstration Is Over: RAC Audits Expand Nationwide


Conference Audio CD + Written Materials	US$	295.00	add to cart

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