Responding to Medical Audit Reviews

Description

Learn how to take control of the medical audit process and respond with confidence to every review request.

This webinar will provide a practical, step-by-step guide to understanding and responding to a medical review additional documentation request. Participants will learn how to interpret the audit request, identify critical first steps, and engage the right team members in the process. The session will cover key timelines, required documentation, and best practices for organizing responses.

KEY WEBINAR TAKEAWAYS

• Critical first steps upon ADR receipt
• Agency responsibilities and timelines
• Recommended ADR submission process best practices to achieve optimal outcomes
• The levels of Medicare appeals and timelines involved

BONUS MATERIALS

• Documentation Checklist Tool (home health, hospice)
• Pre-payment and post-payment MR ADR quick resource tools
• Responding to Home Health ADR checklist

WEBINAR DETAILS

Medical audit reviews/additional documentation requests (ADRs) continue for both post- and pre-payment review. Agencies struggle with how to submit their documentation in a timely and effective manner in order to produce optimal results. This presentation will be a "how-to" guide on responding to an ADR and submitting your documentation. This process begins with understanding the ADR received, key critical first steps an agency should take, and what agency members should be involved in the process. We will cover timelines, critical documentation to review, submission steps, and internal resources required for the submission project. We will also address best practices, including checklists for ease-of-use auditing, when to seek outside assistance in responding to medical review audits, when to seek legal advice, and when to appeal.

THIS WEBINAR WILL BENEFIT THE FOLLOWING AGENCIES:

• Hospice
• Home Health

WHO SHOULD ATTEND?

• Executive leadership including administrator, CFO, CEO, compliance officer
• DOPCSs, directors of clinical services, clinical supervisors
• QA, education
• Administrative assistance – business office

TAKE-AWAY TOOLKIT

• Employee training log
• Interactive quiz
• PDF of slides and speaker’s contact info for follow-up questions
• Attendance certificate provided to self-report CE credits

NOTE: All materials are subject to copyright. Transmission, retransmission, or republishing of any webinar to other institutions or those not employed by your institution is prohibited. Print materials may be copied for eligible participants only.

Presented By

Kathy Ahearn

ALECC, Inc.