ComplianceOnline

Regulatory Guide for Medicare Claim Management of ADRs (Additional Development Requests)

Instructor: Elisa Bovee
Product ID: 705270
  • Duration: 60 Min
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Read Frequently Asked Questions

This training program will provide an overview of how the interdisciplinary team can successfully navigate through Medicare claim reviews and request for additional developmental requests (ADRs). This course will offer a step by step approach to ensure accurate appropriate reimbursement.

Why Should You Attend:

Medicare claims are subject to inspection by Medicare contractors. The approach prior to submission of claims as well as managing the pre- and post-payment requests is critical to maintain revenue streams.

This course will highlight successful strategies for the interdisciplinary team to manage ADR for single and multiple claims. The process for claim inquiries can be daunting and lack of precision can result in an organization being subject to probe reviews and governmental investigations. The program will allow directors and clinicians to establish best practices for successful processing of Medicare claims.

Areas Covered in the Webinar:

  • Medicare Skilled Criteria
  • Claim Preparatory Steps
  • Roles of the Team
  • Claim Submission
  • Tracking Strategies
  • Denied Claim Approaches

Who Will Benefit:

  • Administrators
  • Nurse Managers
  • Rehabilitation Managers
  • Business Office Manager
  • MDS Coordinators
  • Nursing Staff
  • Social Workers
  • Therapists
Instructor Profile:
Elisa Bovee

Elisa Bovee
MS OTR/L, Regulatory Expert, Harmony Healthcare International

Elisa Bovee has been working in the healthcare environment advocating for patients through education and clinical guidance. With a degree in Occupational Therapy she has managed a national operations team performing audits and analysis across the US for skilled nursing home providers.

Her expertise includes compliance programs, reimbursement and regulatory, development of education programs, skilled documentation for nursing and therapy and managing claims through the development request and denial phases.

Elisa has presented programs targeting all interdisciplinary groups throughout the country for audiences seeking guidance and clarity on a multitude of regulatory and clinical topics. Additionally, she has written and contributed to articles for national trade publications.

Topic Background:

The Centers for Medicare & Medicaid Service (CMS) in conjunction with the Office of Inspector General establishes laws by which the skilled nursing facility proprietors must abide by. The legal ramifications of missteps in the claim submission process are significant and can disable an organization.

Medicare claim reviews are a focus of the government and place facilities at risk for denied claims. Understanding documentation requirements will play a critical role in ensuring accurate and appropriate reimbursement.

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Refund Policy

Registrants may cancel up to two working days prior to the course start date and will receive a letter of credit to be used towards a future course up to one year from date of issuance. ComplianceOnline would process/provide refund if the Live Webinar has been cancelled. The attendee could choose between the recorded version of the webinar or refund for any cancelled webinar. Refunds will not be given to participants who do not show up for the webinar. On-Demand Recordings can be requested in exchange.

Webinar may be cancelled due to lack of enrolment or unavoidable factors. Registrants will be notified 24hours in advance if a cancellation occurs. Substitutions can happen any time.

If you have any concern about the content of the webinar and not satisfied please contact us at below email or by call mentioning your feedback for resolution of the matter.

We respect feedback/opinions of our customers which enables us to improve our products and services. To contact us please email customercare@complianceonline.com call +1-888-717-2436 (Toll Free).

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