Medicare Appeals for Healthcare Providers: Understanding the Appeals Process and the Impact of the Backlog
Maximizing Reimbursement Performance and Mitigating Risk
Recording of a 90-minute CLE webinar with Q&A
This CLE webinar will provide healthcare counsel with a review of the Medicare Part B appeals process, the impact of the backlog, and the effect of CMS’ 68% solution. The panel will drill down into the issues on which the Medicare Administrative Contractors (MACs) are focusing. The panel will provide guidance for compliance, offer best practices to improve reimbursement performance, and outline approaches to mitigate risk.
Outline
- Understanding the Medicare Part B appeals process
- The Medicare Part B appeals process
- The appeals backlog
- OMHA’s appellant forums and process improvements in the works
- CMS’ 68% solution
- A report “From the Trenches”
- Get to know the MACs
- Issues that MACs are most focused on
- A “Real” perspective on the appeals backlog
- Focus on compliance—solution or merely a stopgap to appeals?
- Overview of corporate compliance
- Compliance efforts to specifically improve reimbursement performance and mitigate risk
- Risks of noncompliant behavior
Benefits
The panel will review these and other important issues:
- The levels of review and the timelines with which providers must comply
- The types of claim denials providers most often encounter and why
- Best practices to improve healthcare providers’ internal compliance efforts related to reimbursement and auditing processes
Faculty
Stephanie Greene
Chief Consulting Officer
ACU-Serve
Ms. Greene heads up the Auditing and Consulting Division and counsels clients in billing audits and appeals, as well as... | Read More
Ms. Greene heads up the Auditing and Consulting Division and counsels clients in billing audits and appeals, as well as other issues related to compliance.
CloseAmy F. Lerman
Epstein Becker & Green
Ms. Lerman focuses her practice on a variety of regulatory and transactional health care matters, including corporate... | Read More
Ms. Lerman focuses her practice on a variety of regulatory and transactional health care matters, including corporate compliance, telehealth/telemedicine, Medicare program integrity auditing and monitoring, and durable medical equipment. She advises clients on legal, regulatory, and reimbursement matters arising under the Medicare, Medicaid, and other third-party reimbursement programs and assists clients in evaluating, developing, and implementing healthcare compliance programs.
Close