“Finally Friday” Confusion with the QIOs and the New RAC for Medicare Advantage

FRIDAY January 15, 2016

 Sponsored by The Health Law Partners, Medlinks, and Aerolib

 “They’re BA-ACK”

They-reBack

We Review the Recent News and What It All Means

…ask if we really know…

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We’ve had a nice break, after 118 shows… done between March 29, 2013 and December 4, 2015… but we’re baaaack!

I'm suggesting to my good friend, Day Egusquiza, that she should make some of these buttons to offer at the next Physician Advisors & UR Team Boot Camp!

I’m suggesting to my good friend, Day Egusquiza, that she should make some of these buttons to offer at the next Physician Advisors & UR Team Boot Camp!

Okay, stop yawning, we have some interesting stuff to go over this week, and we’re not talking about the Presidential Race and the strange state of politics in our wonderful country! Besides, there are plenty of topics to discuss… and let’s face it.. we ALL need each others’ help to keep up and figure out WHAT THE @#$% IT ALL MEANS.

So, this week, we review these events/subjects/whatever:

  1. Are you confused about OBS since the OPPS Final Rule?
  2. Someone else is back, and you likely know who we mean?
  3. Should you trust the QIOs to follow (or even know) the rules?
  4. Are you sure you’re using the ABN correctly?

AND this all leads us to our focus over the next few weeks:

What is the proper use of Outpatient?

Jim Croce said it best... You Don't Mess Around with Jim - click the image for the song!

Jim Croce said it best… You Don’t Mess Around with Jim – here’s the song!

Certainly CMS seems highly keen on pushing OP to be used much more than IP, yes? So… fighting this objective would be like trying to fight City Hall, or tugging on Superman’s cape, or … what Jim Croce said in that song? Anyway, we’re about to start talking about how to avoid the OP v. IP issue…  Maybe we should stop fighting it, eh?

So listen in and get the handouts, below…

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