Note from the speaker: Identifying, reporting, and defining overpayments

 

By Jennie Bryan, MBA, RHIA, CCS

The 2018 Revenue Integrity Symposium (RIS) is taking place October 16–17 outside Phoenix, Arizona. Attending events like RIS is important to get information on current issues and trends within the revenue integrity profession. It is also a great opportunity to connect with professionals that are dealing with the same issues I am, so I can learn from their experiences.

I am looking forward to networking with those attending and speaking. One session I am really looking forward to attending is “Patient Status and Inpatient Admission Orders: New Developments for Part A Payment” with Kimberly A. H. Baker, JD, CPC, and Ralph Wuebker, MD, MBA.

I am co-presenting with Kim Cusson, CCS, CPC, a healthcare risk client-based associate manager for Crowe Healthcare Risk Consulting, LLC, in Clayton, Missouri, in a session titled “Tick Tock You’re on the Clock-The 60 Day Provision.” Revenue Integrity professionals have many opportunities to identify situations in which an overpayment was received. They may also be involved in reporting and defining the scope of the overpayment. This session will provide a general overview of the Centers for Medicare and Medicaid Services (CMS) Final Rule implementing the Affordable Care Act’s (ACA) 60-day report and examine this 60-Day Provision, the look back period, how to report, and how to return overpayments. 

Our session is taking place on day two, October 17 in the breakout session from 2:00 p.m. to 3:15 p.m., so please join us!

In addition to attending the conference, I am looking forward to seeing all the beautiful desert colors in the Phoenix area and the October temperatures.

 

Editor’s Note: Jennie is a healthcare risk client-based associate manager for Crowe Healthcare Risk Consulting LLC, in Clayton, Missouri. Jennie has more than 30 years of audit, consulting, compliance, and acute care coding and documentation experience. She has also held positions as director of corporate compliance and HIPAA privacy, inpatient and outpatient consulting manager, and health information management director. 

For additional information, listen to a recording of our Revenue Integrity Symposium Demo and view the corresponding slides. Revenue integrity professionals wishing to earn support from program administrators to attend the 2018 Revenue Integrity Symposium may adapt our justification letter proposal.

 

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Revenue Integrity

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