The World Congress Leadership Summit on Medical Necessity

The World Congress Leadership Summit on Medical Necessity will convene hospital and health system professionals to examine the recent debate around this topic and to discuss strategies for avoiding loss of revenue and greater administrative and other costs caused by RAC denials.

Delegates will have the opportunity to hear from leading institutions on creating internal systems to monitor and improve admission processes, patient status determination, poor facility and physician documentation as well as strategies for accurately interpreting interqual and other criteria.

Listen to current targets for recovery audit contractors what they are looking for to determine medical necessity. Attendees will also hear from leading institutions with the lowest denial rates on internal practices and systems to avoid medical necessity denials as well as best practices for protecting and recouping your reimbursement in the RAC Appeals process.

• What is the current status of the debate over RAC auditors determining medical necessity for treatments in hospitals and health systems?
• What is the role of medical necessity in wider system reform models like the medical home and ACOs?
• What are the solutions to this recent rise in denials due to medical necessity and how will the system have to change to rectify this challenge?

The Summit will provide solutions for the toughest challenges facing hospitals and health systems regarding medical necessity such as:

• How can you protect your financial viability in an environment of increasing scrutiny?
• What are others doing to avoid long and costly administration costs due to lengthy RAC appeals?
• Navigating the RAC appeals process
• What is currently under examination from CMS and what areas are being targeted and highly scrutinized for reimbursements?
• Understand the role of the physician in appropriately proving and determining medical necessity
• Examine your utilization review, observations and staff education and knowledge of admission processes

Call for Papers: Submit Abstract for Presentations

The World Congress Leadership Summit on Medical Necessity is now accepting abstract submissions for 2012! Click here for details.