A comprehensive educational workshop on pre and post payment audits.
The process for responding to an Additional Documentation Request (ADR) is the critical first step in preventing denials. This skill-building workshop will provide attendees with skills and the knowledge necessary for a solid response to any auditing entity that decreases risk of a denial. Further, it will educate attendees on the Appeals process, and the additional opportunities to getting a denial overturned.
This 2-day workshop will provide strategies for managing the people, records, and process for responding to auditors, and appealing denials. Aspects of the various roles each person plays during this process includes coordination, preparation, documentation, and tracking. Preventing denials in the first place is part of a comprehensive compliance program as internal QA functions are a must. Each area will be covered providing specific, practical approaches to deal with the challenges in the appeals process.
This workshop is designed to provide you with the information and knowledge needed for responding to, and preparing for, pre and post payment audits of your Medicare claims. Content is designed to address the audit process while also providing you with the tools necessary for successful claim approvals.
Attendees will receive a comprehensive training manual that can be used as a resource in your facility as well as forms and procedures on CD which allow customization to fit your operational needs.
Prior Attendee Comments:
“Kristy did a wonderful job, I am glad to have attended this workshop. I walked away with so much knowledge and tools to better our ADR process.” Nashville, 2016
“Excellent is the one word I would use to describe this workshop and Kristy.” Nashville, 2016
Click here for Detailed Agenda, Instructors, & Dates/Locations
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Who should attend:
- Regional Staff
- MDS Coordinators
- Medical Records Personnel
- Business Office Personnel
- Therapy Directors
Continuing Education Credits:
Administrators: 12 CECs
Nurses: 12 CECs
First day - Registration from 8 - 8:30am. Session starts at 8:30am.
Las Vegas, NV: February 8-9
Orlando, FL: November 8-9
|Kristy Brown, Senior Financial Health Care Consultant for Polaris Group has over 29 years of experience in the Long Term Care industry. She has worked in the health care finance field at multiple corporate levels as well as owning her own Long Term Care facility. She held the positions of Director of Operations, Regional Financial Consultant, Nursing Home Administrator, and Assisted Living Director.
||Victor Kintz, MBA, CHC, NHA, RAC-CT, CCA has over 30 years of experience in the health care industry working extensively in the post-acute arena. His work history includes Administration, Regional Management, and Consulting with areas of expertise in operations, billing, finance, rehabilitation, managed care and compliance including post payment audits. In addition to his other duties, he is the Team Leader for Polaris Group’s Independent Review Organization (IRO). He received his Bachelors in Business Administration with a double major in Marketing and Management, and holds his Master’s Degree in Health Care Administration. In addition to being a Licensed Administrator, Victor is certified in Health Care Compliance by HCCA, as a Resident Assessment Coordinator (RAC-CT) through AANAC, and is a Certified Coding Associate (CCA) through the American Health Information Management Association (AHIMA). Currently he serves on the Board of Directors at Santiam Hospital, and teaches Healthcare Management for the University of Phoenix.