CHIA | Managing RAC Responses in the Physician Practice

“HMS’s mission is to help protect the integrity of government sponsored health and human services programs.”

Overview:

The California Department of Health Care Services (DHCS) and the Centers for Medicare and Medcaid Services (CMS) has contracted with Health Management Systems, Inc. (HMS) to act as the Recovoery Audit Contractor (RAC) for California. According to the DHCS website, “HMS’s mission is to help protect the integrity of government sponsored health and human services programs.” As a RAC, HMS works to identify, audit, and recover improper Medcaid payments for Fee-for-Service and managed care populations. HIM professionals are challenged with navigating and managing this complex environment.

This webinar will provide attendees with clarification on:

  • Who is HMS
  • Does HMS conduct Medi-Cal or Medicare audits
  • Are the notifications paper or electronic
  • Subrogation demands when Medi-Cal is secondary payer
  • What if the patient’s coverage is Medicare/Medi-Cal
  • Are the Additional Documentation Required (ADR) letters for hospital or private practice records

Who Should Attend:

Revenue Cycle Directors and Managers, HIM Directors and Managers, CDI Directors and Managers, CDI Specialists and Leaders, and CFOs. Professionals in inpatient and outpatient settings.

Date Published:

March 18, 2020

CEU:

1.0 – Revenue Cycle Management

Speaker:

Diane Brooks, RHIT, CCS-P
Compliance Auditor/Educator, Central California Faculty Medical Group

Diane has been an HIM professional for over 20 years and for the past eight years she has worked in the physician practice environment in a large multi-specialty group with several areas of focus including: E/M documentation in a teaching setting, ROI practice acquisitions and closures, HIPAA privacy education and compliance, claims review and RAC response compliance.

Pricing:

Members and Non-Members: $69

Instructions:

In order to access this course, you will need to “Register for this Course“.

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Access instructions for the course will be provided within 2 business days following receipt of payment. You will have 60 days to access the course after access has been granted.

Once the course is completed, you will have the ability to download the CE certificate.

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Course Includes

  • 1 Lesson
  • Course Certificate