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HIPAA Compliance: Hospital Strategies for Meeting Tough New Requirements
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Sweeping changes to the HIPAA Privacy and Security Rules now give the Office of Civil Rights (OCR) the power to enforce HIPAA privacy and security protections among payers, providers, vendors, business associates, and their subcontractors! Effective immediately, the HIPAA Omnibus Rule makes all parties at risk for violating protected health information. And penalties are severe, capping out at $1.5 million per violation!
Obtaining Part B Payment When Part A is Denied: Understanding the Impact on Reimbursement
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The Centers for Medicare & Medicaid Services have issued an Administrative Ruling on hospital reimbursement on Part B claims when Part A claims have been denied. That ruling which appears to have a positive affect on providers is effective immediately. At the same time, CMS has issued a proposed rule that appears to contradict its own ruling and could significantly impact your reimbursement.
Fluoroscopy Services: Reduce Your Coding & Billing Risks
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Fluoroscopy has numerous diagnostic and therapeutic applications. Each of these areas seems to come with its own set of coding and billing rules which helps explain why so many facilities submit claims with erroneous charges for fluoroscopy services.
How to Mitigate Your Hospitals Pharmacy Audit Risks and Avoid Overpayments
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In the last four months alone, the OIG has released 11 audit reports that target hospital billing patterns for outpatient drugs the result identification of nearly $12 million overpayments. These overpayments were directly related to incorrect application and reporting of billing unit multipliers (billable units), lack of supporting medical necessity and poor system controls at the contractor or provider level. Widely used pharmaceuticals including Herceptin, Remicade and Lupron are being targeted by the OIG, so ramifications could be severe if your claims are not accurate.
Implantable Devices: How to Avoid Massive Fines Being Levied by the OIG
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Hospitals and ASCs face increasing audit risk by the Office of Inspector General (OIG) for services that involve implantable devices. This crackdown has resulted in facilities having to repay hundreds of thousands of dollars in fines. Under IPPS and OPPS, as well as ASCs, facilities must follow accurate device-credit reporting, including amounts of manufacturer/vendor credits as well as device credit modifiers and condition codes. 
 
Don't risk OIG action or hefty payments! Learn the rules and get a system in place to handle these protocols.
Medicare Appeals & Reimbursement Impacted by New OIG Report
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Be prepared. The recent report released by the Office of Inspector General suggesting improvements to the ALJ level of Medicare appeals will likely impact your appeals. During this crucially important webcast, you'll learn why you'll need to re-examine your appeal strategies in light of the OIG recommendations.
Laboratory Preventive Care Services: Avoiding Costly Payment Denials
Our Price: $209.00

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During the first six months of 2012, more than 16 million people with original Medicare received at least one service covered under the Affordable Care Act's expanded benefits for preventive services, according to CMS. What does this mean for physicians who provide these services?
Discharge Summary Strategies to Improve Compliance & Reduce Hospital Readmissions
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Nowhere in the continuum of care is there a greater threat of vulnerability than at the time of discharge. Breakdown in communication as a result of an incomplete discharge summary can set off an adverse chain of events, including heightened readmission rates a target being aggressively tracked by recovery auditors. During this essential webcast, you'll learn how to generate a clinically relevant, fully compliant discharge summary that embraces best practices using an evidence-based approach.
Observation vs. Inpatient vs. Outpatient: Making the Right Determination
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Since the Medicare RAC program began nationally in 2010, hospitals have lost $3.6 billion because recovery auditors determined thataccording to their judgmentcertain inpatient care should have been provided in an outpatient setting. Now, through this important webcast, you'll learn how to use Medicare regulations to your advantage by knowing what the auditors are looking for in the medical record. 
Coding for the Non-Coder: Gain a Better Understanding of Code Sets, Claim Forms, and Payment Systems to Ensure Faster Processing and Reimbursement
Our Price: $199.00

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Designed specifically for non-coders, this fast-track webcast is ideal for doctors, physicians assistants, nurses, office staff, administrators, and coding and billing instructors, as well as those interested in moving toward being more involved in coding.