Trends in Payor Audits and Disputes - Part 1 of 2

This webinar focuses on trends in payor audits and disputes relevant to private practices. Presenters will cover different types of audits, including Medicare reimbursement audits and commercial payer audits, and will review audit response strategies in the event your practice ever should ever undergo an audit. Additional content covered in this webinar will touch on cross plan offsetting. Attendees will be able to understand recent trends in both commercial and Medicare audits and identify ways to be prepared to respond to an audit.

Speaker:
• Ross Burris, JD - Polsinelli
Ross Burris benefits clients by applying a strong business acumen to understanding the goals and challenges clients face and by leveraging a commanding ability to counsel on intricate legal matters. His experience includes advising clients regarding the complex and ever-changing federal and state regulatory environment. He approaches each issue with a practical application that is unique to the client's context and draws on a strong background of working with numerous regional and national health care providers.

Chapters:
0:00 Introduction
1:35 Speaker Introductions
3:35 Medicare Reimbursement Audits
4:43 CMS's Targeted Probe and Educate (TPE)
6:36 Recent Tactics for TPE Audits
9:03 Commercial Payor Audits
13:18 Dealing with Contracts that are Out of Date
15:57 Pre-pay Audits
17:50 Terminations
21:27 Data-Mining and Terminations
23:29 Medicare Audits vs. Commercial Payer Audits
27:28 Cross Plan Offsetting

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