• Remove the silos in plain sight from your organization by creating a value proposition from all three teams to identify a universal goal • Reduce conflicting messages from the same organization and establish one streamlined communication approach • Capture all vital information for all three teams in one visit including CPT II codes, reducing the member burden of multiple visits whilst creating efficiency within your workflow
· Analyze the impact of COVID-19 on and pray that 2022 isn’t the same as 2020 with an 8% medical trend · Discuss the evolution of RADV audits. Will recent rule changes end the RADV nightmare or should we hope for future fixes? · Examine the regulatory changes CMS plans to propose for 2022 and signs of wear and tear on the 10-year-old program that might need fixing
• Create training programs to identify difficult to capture codes through telehealth and ways to avoid mistakes • Incorporate advanced training over a period of time and show improvement on results from the initial phase • Offer continued support and guidance to providers as they navigate an unusual concept of member interaction
• Implement mock audits to better prepare your staff for the workload required when participating in the real thing while mitigating risk • Examine solutions that can help you achieve success in a RADV audit and create an implementation plan • Classify individual roles and expectations to enhance success in preparation for an audit
• Implement mock audits to better prepare your staff for the workload required when participating in the real thing while mitigating risk • Examine solutions that can help you achieve success in a RADV audit and create an implementation plan • Classify individual roles and expectations to enhance success in preparation for an audit
Hear how your peers have not only survived CMS audits, but thrived through them by: • Prepare prior to selection to attain optimal outcomes • Implement practical processes once notification is received, to enhance efficiency in the audit process • Utilize lessons learned post audit in preparation for future audits
• Evaluate your current incentive program to identify areas of improvement, especially in a virtual setting • Calculate individual provider compensation that match your providers needs, as well as a different scale for successful capturing of codes through telehealth • Introduce a tool to measure the success of your incentive program and adapt when changes are needed