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SAVE THE DATE!
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EIGHTH NATIONAL RAC (AND MAC) SUMMIT
DEMEMBER 4 - 6, 2013
HYATT REGENCY CRYSTAL CITY NEXT TO
REAGAN AIRPORT
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Do come to the July Boot Camp on Physician Advisor and UR Team partnerships in Chicago, but also expand your horizons with the Eighth National RAC (and MAC) Summit on December 4-6, 2013 in the DC area. Already we have confirmed a MAC, a QIC, and a former ALJ as well as a hospital that underwent a grueling OIG extrapolation audit. But there will be much more -- AHA updates, Congressional staffers, best practices from the field, and great networking. Mark your calendar now!
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CALL FOR PROPOSALS
EIGHTH NATIONAL RAC (AND MAC) SUMMIT
DECEMBER 4 - 6, 2013
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The Eighth National RAC (and MAC) Summit is now soliciting presentation proposals for the conference on December 4-6, 2013 at the Hyatt Regency Crystal City near Reagan Arport. Hospitals with best practices in areas such as CDI, use of PEPPER, physician advisor roles, use of the discussion period, appeals, UR staffing, RAC peer-to-peer, rebilling, tracking and trending, Medicaid and commercial health plan audits, patient communications, dashboards, Board involvement, physician education, etc. are encouraged to submit proposals, as are solutions companies and law frms working with hospitals. Proposals received by July 31 will receive first consideration. Click here to access the proposal submission form.
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CONTINUING EDUCATION CREDITS ARE AVAILABLE
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The Boot Camp has been approved to offer the following continuing education credit, depending on sessions attended, for both onsite and online attendees:
Physicians: up to 11.5 AMA PRA Category 1 Credit(s)™.
Nurses: up to 14.5 contact hours
Compliance Professionals: up to 14.1 CCB Credits by the Compliance Certification Board (CCB)
CCM® Board Certified Case Managers: up to 15.0 contact hours
Accounting Professionals: up to 17.5 NASBE CPE credits
Coders: up to 13.0 AAPC continuing education hours
See the special "Continuing Education" tab for full details.
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THE PHYSICIAN ADVISOR AND UR TEAM BOOT CAMP
Best Practices from Pre-Admission to Appeal
Co-Produced by the National RAC Summit and AR Systems, Inc.
July 22 - 24, 2013
ONSITE
Hyatt Regency - O'Hare Airport
Chicago, IL
WEBCAST ATTENDANCE
Live and Archived for 6 months
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CONFERENCE CHAIR
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Day Egusquiza
President, AR Systems, Inc., Twin Falls, ID
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GET THE RAC SUMMIT APP!
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Ernie de los Santos has created a free RAC Summit mobile app for your Smartphone or tablet, now updated to include the information for the July Boot Camp.
Click here to learn how to get the app now.
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TUITION SCHOLARSHIPS
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The Physician Advisor and UR Team Boot Camp is now offering partial and full Tuition Scholarships to qualifying representatives of local, state and federal government, consumer advocate organizations, safety net providers, academics, students and health services research organizations.
Click here for more information.
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GRANTOR
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BRONZE
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CMS ISSUES NEW PROPOSED RULE ON PART B BILLING WHEN PART A DENIED
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CMS published a proposed rule on March 13 allowing hospitals that were denied payment because an inpatient stay was not reasonable and necessary to rebill the claim under Part B in accordance with the rule's requirements. This is a temporary ruling until the proposed rule is finalized. The period for comment on the proposed rule is 60 days from the date of publication. Click here to access the proposed language. AHA also recently issued an excellent brief on this issue.
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AHA RELEASES UPDATED RACTrac SURVEY DATA
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AHA has just released the RACTrac survey data for the first quarter of 2013. Overturns are still running at 72%. Click here to see the details.
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RAC CERTIFICATE PROGRAM
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FOLLOW RAC SUMMIT ON
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THE PHYSICIAN ADVISOR AND UR TEAM BOOT CAMP
July 22 - 24, 2013
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ONSITE
Hyatt Regency - O'Hare Airport
Chicago, IL
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WEBCAST ATTENDANCE
In your own office or home live via the Internet
with 24/7 access for six months
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CONFERENCE FACULTY
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Patricia Cruz, RN, ADN, ACM
RAC Coordinator, Presbyterian Intercommunity Hospital, Whittier, CA |
Jeffrey Farber, MD, MBA
CMO, Mount Sinai Care, LLC; Associate Professor, Brookdale Dept of Geriatrics and Palliative Medicine; Director, Appeals Management and Clinical Documentation Improvement Departments, Mount Sinai Medical Center, New York, NY |
Pamela Foster, APSW, MBA, ACM
Director, Care Coordination, Case Management & Social Services, Mayo Clinic Health System, Eau Claire, WI
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Larry T. Hegland, MD
Chief Medical Officer, Ministry Saint Clare's Hospital, The Diagnostic and Treatment Center, Weston, WI |
Angie Roberson, RN, BSN, CPUM, ACM
Director, Case Management & Transfer Center, Spartanburg Medical & Village Hospital, Spartanburg, SC |
Michael A. Salvatore, MD, FACP
Physician Advisor, Beebe Medical Center, Lewes, DE
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Ernie de los Santos
Founder & Faculty Chair, Appeal Academy, Apple Valley, CA |
E.G. "Nick" Ulmer, Jr., MD CPC
Vice President, Clinical Services and Medical Director for Case Management, Spartanburg Regional Health System, Spartanburg, SC
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Marcia Widmer, MPP, CPC
Director of Compliance and Audit, North Shore Medical Center, Inc., Partners HealthCare System, Inc., Salem, MA |
Ignacio Zarate, MD
Physician Advisor, Presbyterian Intercommunity Hospital, Whittier, CA
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INSIDE RAC SUMMIT: INSIGHTS AND HIGHLIGHTS OF THE SEVENTH NATIONAL RAC
(AND MAC) SUMMIT -- DECEMBER 2012
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Ernie de los Santos and Appeal Academy have just released a comprehensive analysis of The Seventh National RAC (and MAC) Summit held December 4-6, 2012 in Washington, DC. From the opening preconference on physician advisors and UR teams that provided the impetus for the Boot Camp on July 22-24 in Chicago to the final faculty conversations about appeal strategies in the Appeal Academy postconference, it's all here. Key points are underscored and key take-aways listed for each session, together with a link to the preview video for each session at the Summit for those who do not already have webcast access. If you were there in person or on the web, this is a reminder of just how good the Summit was. And if you could not attend, it's all here and it's complimentary. Click here to access the complete report on the Appeal Academy web site.
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CMS RAC INTERACTIVE MAPS
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Click below to see larger, interactive versions of the maps.
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Medicare Compliance Contractors Map
This interacrtive map shows all of the various Medicare compliance contractors, including RACs and MACs, responsible for health care entities in each State.
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State Medicaid RAC Program Status
Section 6411 of the Affordable Care Act of 2010 required States and territories to establish Medicaid Recovery Audit Contractor (RAC) programs. This interactive map summarizes the current status of each jurisdiction's RAC program, based on the information submitted in its State Plan Amendment (SPA).
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PARTICIPATION OPTIONS
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TRADITIONAL ONSITE ATTENDANCE
Simply register, travel to the conference city and attend in person.
Pros: subject matter immersion; professional networking opportunities; faculty interaction
LIVE AND ARCHIVED WEBCAST ATTENDANCE
Watch the conference in live streaming video over the Internet and at your convenience
at any time 24/7 for the six months following the event.
The archived conference includes speaker videos and coordinated PowerPoint presentations.
Pros: Live digital feed and 24/7 Internet access for next six months; Accessible in office, at home or anywhere worldwide with Internet access; Avoid travel expense and hassle; No time away from the office |
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WEBCAST INTERFACE SAMPLE
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Click here for a sample stream
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THE GROUP REGISTRATION/ONLINE TRAINING ALTERNATIVE
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By arranging to license online group access to the Summit Medicare RAC Certificate Program, health care providers subject to RAC audits can implement an organization-wide online Certificate Program on preparing for, responding to and appealing a RAC audit. The organization's training coordinator can assign and track online participation. Successful completion of the training can be evidenced by passing the post conference training examination.
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HERE IS AN EXAMPLE OF A HEALTH SYSTEM RAC CERTIFICATE PROGRAM
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