Medicare Advantage and the 2-Midnight Rule: Level the Field With Medicare Advantage Payers

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Medicare Advantage and the 2-Midnight Rule: Level the Field With Medicare Advantage Payers

Product Code: YHHA060922A

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Medicare Advantage and the 2-Midnight Rule: Level the Field With Medicare Advantage Payers

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Presented on: Thursday, June 9, 2022 | 1:00-2:00 p.m. Eastern

Presented by: Jerilyn Morrissey, MD

Misconceptions abound about how the 2-midnight rule applies to Medicare Advantage (MA) cases. Poor communication, insufficient processes, and misunderstandings of the rule and MA payers leave organizations at serious risk of lost revenue and compliance gaps.

During this 60-minute program with live Q&A, expert speaker Jerilyn Morrissey, MD, will clear up confusion about the regulations and explain how to determine when the 2-midnight rule applies to MA payers. Morrissey will share tips on process improvements to reduce denials and support compliance. She will also discuss common MA payer denial strategies, how provider organizations can use data analytics to discover their MA payers’ denial patterns, and methods to reduce these denials and create a more even playing field for providers and MA payers.

At the conclusion of this program, participants will be able to:

  • Describe the regulatory framework that applies to MA
  • Discuss what MA payers are and are not allowed to do
  • Identify resources available to providers when payers do not abide by the rules

Agenda

  • MA payers and regulations
    • Review of regulatory framework that applies to MA payers
  • MA payer denial strategies
    • Specific denial tactics
    • Provider revenue erosion
  • Leveraging defensive analytics
    • Implementing analytics to discover denial patterns and strategies
    • Understanding and applying results of analytics
  • Proactive responses
    • Strategies to reduce denials
    • Leveling the playing field with MA payers

Who Should Listen?

  • Revenue cycle directors and managers
  • HIM directors and managers
  • UR committee members
  • Physician advisors
  • Revenue integrity directors and managers
  • Compliance officers
  • Patient financial services managers
  • Denial management staff
  • Revenue cycle staff
  • Revenue integrity staff
  • Patient financial services/business office staff
  • Payer contracting/managed care directors and managers
  • Payer contracting/managed care staff

Meet the Speaker

Jerilyn MorrisseyJerilyn Morrissey, MD, is senior vice president of clinical and regulatory affairs at Versalus Health. She is responsible for regulatory, private payer, and utilization management education for case management staff and physicians. Morrissey is passionate about using data and technology to help hospitals navigate complex Medicare regulations and understand

payer practices and their impact on the hospital revenue cycle. Morrissey’s experience as a practicing physician, a physician advisor for a nationally recognized health system, and a director of clinical information for a national payer affords her a unique perspective to solve utilization management’s evolving challenges.

Continuing Education

National Association of Healthcare Revenue Integrity (NAHRI)
This program has been approved for 1 continuing education units towards fulfilling the requirements of the Certification in Healthcare Revenue Integrity (CHRI), offered as a service of the National Association of Healthcare Revenue Integrity (NAHRI).

Ability to claim credits for this webinar expires on: 06/08/2023

Instructions

Webinar system requirements and program materials: 
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:

Browser: Microsoft Internet Explorer or Edge, Firefox, Chrome, or Safari, with JavaScript enabled 
Internet: Internet connection (high-speed connection recommended) 
Streaming: Access audio/video streaming from any browser on a computer, mobile, or tablet device

Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location. 

CAN'T LISTEN LIVE? 
No problem. The On-Demand version will be available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $229 value! 

PLEASE NOTE 
Participation in the webinar is just $229 per site. All materials must be retrieved from the Internet.

Call your customer service representative toll-free 800-650-6787 or email customerservice@hcpro.com if you have questions.