MEDICARE RAC Certificate Program
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The year since the 2013 RAC (and MAC) Summit has been an interesting one to say the least, with delays in the selection of new RAC contractors, a RAC "pause" imposed by CMS, continuing struggles with the "Two Midnight" rule, an uneven set of MAC "probe and educate" audits, States ramping up their own Medicaid RAC contractors, and Medicare Advantage plans and now commercial insurers adopting aggressive auditing tactics to compound the burden on hospitals. Hospitals' rightful appeals of this growing body of denials has now completely overwhelmed an understaffed collection of Administrative Law Judges. On the bright side, members of Congress on both sides of the aisle are now well aware of the hospitals' issues and asking the tough questions. But legislation takes time, so never has it been more important for hospitals to "get it right the first time" when it comes to documentation and decision making.
This is what makes the Ninth National RAC (and MAC) Summit a "must attend" event. The Summit brings together in one conference all of the major perspectives -- RAC, MAC, QIC, ALJ, and the AHA response -- plus presentations from leading hospital and hospital association representatives, best of breed lawyers and consultants, and key Congressional staff. Early bird rates make it affordable, and group discounts allow a whole team to participate. This is truly a one-of-a-kind conference experience.
WHO SHOULD ATTEND
The Ninth National RAC (and MAC) Summit is designed as a very practical, hands-on, highly interactive experience for hospital leaders and managers. Lots of Q&A has been built into the program, as well as lots of networking breaks and the networking reception, single issue breakfast table top discussions on the morning of Day II and more discussion tables that same day at lunch.
So who should attend? Here is a non-exclusive list:
- Chief Executive Officers (a good internal program will save money from avoidable denials)
- Chief Financial Officers (a good internal program will save money from avoidable denials, maybe lots of money)
- Chief Medical Officers (physician education will be critical in the face of the changing rules, plus if you don't have a Physician Advisor talk to the PAs in attendance about how to do so)
- Physician Advisors
- Corporate Compliance Officers (learn how to make the ROI case to the three people listed above)
- Hospital Corporate Counsel (learn what and when to challenge, and what works...and what doesn't)
- External Affairs/Government Affairs Manager (if you have one -- you should be meeting with your Member of Congress on this stuff)
- RAC liaisons
- staff nurses
- utilization review committee members
- case managers
- emergency room clinicians
- medical coding and billing staff
- CDI staff
- ICD10 staff
- patient accounts managers
- other financial and auditing personnel
But don't just send one rep. We have reduced the group discount rate for hospitals and health systems in the first Early Bird period. Send your RAC liaison, your PA, and a nurse/case manager (or any combination or 3 or more) before September 12 for $595 each. Estimate the cost of registration, travel, and a hotel group rate of $209 against the cost of one denied inpatient claim. (See the word "ROI" above.) Join us in November. This might be your best hospital investment in 2014.
