Hot Topics in Medicare: Audits and Medical Review

Session Description:

This session will focus on recent Medicare and Medicaid fraud and abuse probes. It also will cover the therapy cap targeted manual medical review process and reviews by Medicare administrative contractors (MAC) and Medicaid Fraud Control Units.

Participants will be given the most up-to-date information on the results of the initiatives from the Centers for Medicare and Medicaid Services (CMS) as well as strategies on how to respond to additional documentation requests (ADR), reduce denials, and strengthen documentation. Other discussion topics include home health preclaim demo, durable medical equipment (DME) probes, and new rules for Medicare appeals.

Course Code:

LMS-812

APTACategory

Category1

cert_CA approval

CPTA2016-17

cert_Insert Up To

No

cert_No IACET

No

cert_NV credit value

0.2

cert_NY approval

Yes

cert_OH approval code

17S5204

cert_OH hours

1.5

cert_Transcript stmt

No

cert_TX approval

1909019TX

Completion Instructions

  • Review the pre-recorded session, compile questions for the live Q and A session.
  • Following the Q and A, complete the assessment with a 70% or higher score.
  • Submit your evaluation feedback.
  • Print your certificate.

Course level

Basic

Date published

12/01/2016

Date recorded

02/09/2017

Delivery method

Online

Instructor(s)

Roshunda Drummond-Dye, JD; Ellen R. Strunk, PT, MS, CEEAA, GCS, CHC

Learning objectives

  1. Learn how to survive a Medicare Audit
  2. Learn how to strengthen your documentation to defend from an audit.
  3. Identify manual medical review by Medicare Administrative Contractors

Brought to you by

APTA

#Lessons:
1PDF
2Assessment_Hot Topics in Medicare
Overview
Type:E-Learning Course
Credits:0.2
Tags:Audits, Ellen Strunk, Roshunda Drummond-Dye, Medicare
Enrollment
Price:$169.00
Available discounts:
  • Non Member
    $169.00
    (until 12/31/2030)
  • Member
    $99.00
    (until 12/31/2030)
* Prices in US Dollar