Join us for our next installment in our educational webinar series featuring renowned RAC & MAC Audit expert, Day Egusquiza. 

In this webinar, Day will provide an update on recent RAC & MAC news, as well as, the latest operational recommendations and best practices for successfully managing RAC audits and appeals, including the following updates:  

• Updates on recent RAC changes
• Focusing on learning and preventing, as well as, “fighting the good fight”
• Identify vulnerabilities in audit and decision points throughout the RAC process
• Practical recommendations for all five levels of appeal, based on recent experiences
• Additional updates and findings on other payer audits including MAC and others

In addition, Day will use case study examples from recent RAC audits to illustrate the findings and recommendations.

Who Should Attend

• Hospitals
• CFO, CEO
• VP/Director of Revenue Cycle
• Chief Compliance Officer
• Compliance Director
• Chief Risk Officer
• Director of Risk Management
• Director of Regulatory Affairs
• Hospital Legal/Regulatory Counsel
• Physicians and their staffs

About the Presenter

Day Egusquiza brings over 30 years experience in health care reimbursement, hospital business office operations, contracting and compliance implementation. Additionally, her experience includes eight years as a Director of a Physician Medical Management billing service and most recently completed an integrated business office between a hospital and a large physician clinic. She has been an entrepreneur in hospital and physician practice accounts receivable management and a leader in redesigning numerous organizations. Her work includes providing guidance as a compliance and APC educator while providing operational insight on the revenue cycle impacts of HIPAA.  Additionally, she has been instrumental in researching and preparing national education on the impact of the Prescription Drug Benefit to hospitals and nursing homes. Ms. Egusquiza is a nationally recognized speaker on continuous quality improvement (CQI), benchmarking, redesigning, reimbursement systems and implementing an operational focus of compliance- both in hospitals and practices. She has been on the AAHAM National Advisory Council, HFMA National Advisory Council, HFMA faculty, CCH Reimbursement Advisory board and is a past President of the Idaho HFMA Chapter &; recently received the Lifetime Achievement Award. She has been highlighted in JCAHO's Six Hospitals in Search of Excellence, Zimmerman's Receivable Report, HFMA's HFM and Patient Account, AHIA Prospective, and numerous healthcare newsletters along with a contributing author to 2006 Health Law and Compliance Update. She received the Idaho Hospital Association Distinguished Service Award; for her legislative work and training on new indigent law. Attendees at HFMA's ANI rated her in the top 25%, earning her the 'Distinguished' Speaker recognition for each year she has presented.

Links to RAC and MIC Web Demos:

Compliance 360 Claims Auditor: Take Control of RAC Audits

Compliance 360 Claims Auditor Demo: Take Control of MIC Audits

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