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Live Webinar

90-minute live streaming program
  • December 5
  • 1:00 - 2:30 pm EST

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OnDemand Webinar

Preparing for Medicaid Audits

December 5

Understand the complexities of federal health care program payments and make sure your organization is getting the reimbursement it deserves.

State Medicaid programs rely on a number of ‘program integrity’ mechanisms to detect and investigate fraud, ranging from criminal investigations to a number of different audit procedures. However, like their Federal Medicare counterparts, Medicaid audits may be aggressive and result in demands for large sums of money. This topic will cover several common types of Medicaid audit processes, describe how they affect providers, and what they can do to get ready.

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Why Lorman?

Over 31 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Agenda

Overview of Medicaid Program Integrity Functions
  • Medicaid Agency Fraud Detection and Investigation Program
  • Medicaid Fraud Control Units
  • Medicaid Integrity Program
  • Medicaid Recovery Audit Contractors
How a Post-Payment Audit Works in General Terms
  • Scope of Review
  • Notice to Providers
  • Submission of Records for Reviews
  • The Audit Process Itself
  • Collection of Overpayments
  • Appeals
"Sticky Areas" in the Audit Process
  • Provider Burdens
  • Accuracy
  • Tranparency
Preparing for and Dealing With an Audit
  • Conduct an Internal Assessment
  • Know Where Previous Improper Payments Have Been Found
  • Dealing With the Auditing Entity
  • Being Aware of Deadline
  • Knowing Appeal Rights
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More Program Information

Why Lorman?

Over 31 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Credits

OnDemand Webinar

This course was last revised on April 15, 2015.

Call 1-866-352-9540 for further credit information.

This program does NOT qualify, nor meet the National Standard for NASBA accreditation.

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  • AAPC 1.5
     
  • This program has prior approval of AAPC for 1.5 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.
     
  • ACHE 1.5
     
  • The American College of Healthcare Executives no longer pre-approves courses or organizations. Participants in this program wishing to have the continuing education hours applied toward ACHE Qualified Education credit should indicate their attendance when submitting an application to the American College of Healthcare Executives for advancement or recertification. ACHE Qualified Education credit must be related to healthcare management (i.e., it cannot be clinical, inspirational, or specific to the sponsoring organization). It can be earned through educational programs conducted or sponsored by any organization qualified to provide educational programming in healthcare management. Programs may be sponsored by ACHE, chapters or other qualified sources, whether the programming is face-to-face or distance offerings (webinars, online seminars, self-study courses, etc.).
     
  • AHIMA 1.5 including Clinical Data Management 1.5
     
  • This program has been approved for 1.5 continuing education units for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.
     
  • HFMA 1.5
     
  • This course is approved by HFMA for certification maintenance of continuous educational points and will equal 1.5 points of classroom instruction.
     

This program does NOT qualify, nor meet the National Standard for NASBA accreditation.

Who should attend?

This live webinar is designed for medical records directors, health information managers, billing managers, hospital administrators, compliance officers and coders.

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More Program Information

Why Lorman?

Over 31 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Faculty

Hugh M. Barton

Hugh M. Barton, P.C.

  • Founder of Hugh M. Barton, P.C.
  • Former Section Chief in Texas Attorney General’s Medicaid Fraud Control Unit
  • Former Assistant General Counsel for Texas Medical Association
  • Board Certified in Health Law by Texas Board of Legal Specialization
  • Past Chair of the Health Law Section of the State Bar of Texas
  • Frequent speaker and writer on health law topics
  • Practiced health law since 1984
  • Can be contacted at 512-499-0793 or [email protected]
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Why Lorman?

Over 31 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

All of your training, right here at Lorman.

Pay once and get a full year of unlimited training in any format, any time!

  • Live Webinars
  • OnDemand Webinars
  • MP3 Downloads
  • Course Manuals
  • Audio Recordings*
  • Executive Reports
  • White Papers and Articles
  • Sponsored Live Webinars

Additional benefits include:

  • State Specific Credit Tracker
  • Members Only Newsletter
  • All-Access Pass Course Concierge

* For audio recordings you only pay shipping

Questions? Call 877-296-2169 to speak with a real person.

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Product ID: 400547
Published 2015, 2018
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