Join our one-hour webinar, "Audit Ready: Navigating RAC, SIU, and Risk Adjustment Reviews Without Fear," to master healthcare audits with practical strategies. Led by Jacqueline Thelian, a renowned healthcare consultant, certified coder, and AAPC instructor with over 20 years of experience in medical coding and practice management, this session will guide you through handling audit requests, understanding provider rights, and minimizing future risks. Don’t miss expert insights on thriving in today’s complex regulatory environment.
Note: If you're unable to attend the webinar live, a recording will be sent to you after the event. Purchasing a ticket guarantees access to both the live session and the recording.
Understanding the Types of Audits
What are the differences between routine audits, RAC/SIU reviews, and risk adjustment audits?
Initial Steps When an Audit Request is Received
1. What should you do first upon receiving an audit request?
2. How do you determine if legal counsel or attorney involvement is necessary?
3. Overview of the audit process, provider rights, and responsibilities.
Appeals Process and Provider Rights
1. What outcomes can an audit lead to?
2. Do providers have the right to appeal?
3. How should the appeals process be approached?
Dealing with Third-Party Audit Vendors
1. What if we don’t have a contract with vendors like Cotiviti or Datavant?
2. Are we obligated to provide records to them?
Minimizing Future Audit Risk
1. How can providers reduce the likelihood of audits?
2. Is it possible to lower the chances of repeated audits, especially after a successful outcome (e.g., relief from audits for at least three years)?
Mrs. Jacqueline Thelian is a Healthcare Consultant, Certified Professional Coder & Auditor, Subject Matter Expert and sought after educator and Author with over thirty years' experience in medical coding and business management. Her extensive experience includes physician practice management,coding/billing
compliance and reimbursement issues and she has taught extensively in Academic Medical Centers, The Chubb Institute, Hospitals, private physician practices and has conducted a variety of seminars for numerous Medical Societies.
She is also a AAPC Certified PMCC instructor for the PMCC (Professional Medical Coding wrriculum) Coding Certification Prep Course,and a Certified ICD-10 Expert Trainer. Her articles on clinical coding issues have been published in many popular healthcare publications.
