Keys to Providing Effective Reimbursable Care

Many forms of CMS Medical Review are actively evaluating records for regulatory and payment compliance. While agencies may not proactively review what goes into the record, the MAC, UPIC, SMRC, and RAC certainly do after the fact. When this happens, the actual content of what your clinicians have been charting is brought under a skeptical evaluation. -Compare and contrast types and focus of contractor review activities. -Learn how asking “What are we doing?” is applied to improve the plan of care, care provided, and outcomes. -Identify how EMR systems can contribute to claim denials when they contain generic or excessive content.
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Course content

2 sections | 2 lessons