Now available on CD & On-Demand
Now is the time to assess your compliance
Polysomnography represents a growing revenue source for hospitals, independent diagnostic testing facilities and physician practices. There is a catch, of course: The Office of the Inspector General (OIG) has set its sights on Medicare payments for sleep studies. And you can be sure other auditors (RACs, MACs and MICs) arent far behind. Is your facility following Medicare criteria for medical necessity? Can you produce sufficient documentation to support your polysomnography claims? Now, more than ever, you need to assess your facilitys compliance with Medicare requirements. Attend this webcast seminar for valuable insights into what you should be evaluating and the changes you may need to make. Highlights:
- How did we get to this point? A review of the trends leading to increased scrutiny of polysomnography claims and documentation
- Medical necessity standards: What constitutes a Medicare-reimbursable sleep study
- Documentation strategies for defending your Medicare claims and ensuring the full appropriate payment
- Common problem areas, including lack of supporting diagnostic information, improper test results or interpretation, and double billing
- Current codes and coding guidelines for sleep studies, as well as proper modifier usage and advance beneficiary notice (ABN) presentation
About our presenter
This MedLearn webcast is presented by Randy Wiitala, BS, MT (ASCP), a MedLearn senior healthcare consultant since 1991. His areas of expertise include chargemaster review and management for critical access and OPPS hospitals, revenue assurance, and regulatory compliance. Mr. Wiitala contributes to a variety of MedLearn publications and electronic products that help providers maintain revenue streams and regulatory compliance for pharmacy, respiratory therapy and laboratory services. His professional career includes experience as a medical technologist in rural and urban hospitals, marketing manager for a Fortune 500 pharmaceutical company and product development/regulatory affairs specialist with a multinational diagnostics testing firm.
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