On-Demand Webinar: Auditing for Medical Review
Recorded On: 10/22/2020
A year following the implementation of the Patient-Driven Payment Model (PDPM) and medical reviews returning from the hiatus caused by COVID-19 and the public health emergency (PHE), providers may begin seeing Medicare claims come under scrutiny. Areas of non-compliance can result in both financial and possible criminal implications depending on the finding. Nursing facilities are being denied payment related to improper documentation or coding. Through this 60-minute session, nursing facilities will identify ways to improve audits, develop solid systems for accurate documentation and data collection resulting in accurate revenue and compliance.
- Identify the five levels of appeals
- Describe the consequences of non-compliance
- Recognize the importance of supportive documentation for accurate coding
- Explain the link between primary diagnosis and supportive documentation