In the last year, the medical necessity of cardiovascular procedures has become perhaps the single most controversial — and financially significant — utilization review issue for hospitals and health plans alike. As the No. 1 target of Medicare recovery auditors and focus of high-profile investigations by the Department of Justice and the HHS Office of Inspector General, the medical necessity of cardiovascular procedures is a hot-button issue that affects the quality of care and the financial bottom line of hospitals and health plans. How successful is your organization in determining the appropriate setting (inpatient versus outpatient) for cardiovascular procedures, or whether a cardiovascular procedure itself is medically necessary? How do you deal with situations in which an ordering physician believes that a cardiovascular procedure is medically necessary, but your utilization criteria have not been satisfied? Get strategic guidance from experts on these and related questions that have a tremendous impact on the quality of patient care and the time, effort and resources you spend on Medicare compliance.
The On-Demand recording will be available immediately upon purchase* as a link within a PDF file of the accompanying written materials. CDs and printed materials are shipped via USPS.
With billions of dollars of national health care charges at risk each year — and even more importantly, with the health of your patients and members at stake — it is critical for your organization to participate in the discussion of the medical necessity of cardiovascular procedures.
Hear Michael Taylor, M.D., and Mark Miani, M.D., of Medical Audit & Review Solutions (MARS) — hospital medical necessity experts who now conduct audits for payers — discuss the latest strategies for helping ensure the medical necessity of cardiovascular procedures. You’ll gain specialized, up-to-date utilization review knowledge concerning the medical necessity issues surrounding pacemakers, cardiac defibrillators, coronary artery stents, and peripheral angioplasty and stents.
You’ll get reliable answers to questions like:
MICHAEL TAYLOR, M.D., is the president, CEO and founder of Medical Audit & Review Solutions (MARS), a physician-led company focused on medical necessity audit, analytics and review. Dr. Taylor has been widely recognized as a foremost industry expert in the fields of medical necessity assessment and utilization review. He is a frequent speaker at industry conferences and events and has been widely published in leading compliance and utilization review publications. He is board-certified in family medicine and is a graduate of Vanderbilt University School of Medicine and Harvard College.
MARK MIANI, M.D., is the vice president and chief medical officer at MARS, where he is responsible for oversight of all clinical operations. He is an industry expert with more than 20 years of domestic and international clinical and administrative medicine experience, including extensive experience in health care utilization working as a medical director in both the provider and payer spaces. Dr. Miani attended Albany Medical College and completed his training at George Washington University Medical Center. He is board-certified in internal medicine.
Moderator: Francie Fernald, Managing Editor of AIS's A Guide to Complying With Stark Physician Self-Referral Rules
Compliance officers, billing and coding managers, reimbursement directors, internal auditors, legal counsel, and financial and operations executives at
CDs (and accompanying written materials) are shipped via UPS. Please give us your street address when you order (UPS does not deliver to PO boxes). You should receive your order within two weeks.* Shipping and handling cost is $12.
The On-Demand Recording will be delivered as a link within a PDF file of the accompanying written materials. Shipping will NOT be charged for this item.
Rush Orders: Please call us at 800-521-4323 to place a rush order.* We will overnight your order for an additional charge of $30, or you can give us your FedEx or UPS account number and we will charge the shipping to your account. Rush orders placed after 3:00pm EST will not be shipped out until the next business day.
*On-Demand recordings will be available within a week of the conference and CDs will be available within two weeks.
Listeners will also receive practical written information to supplement information covered by the Webinar speakers. A copyright release in the Printed Materials will permit you to make photocopies for each person listening to the Webinar and/or the On-Demand Recording.