STACEY LEVITT, RN, MSN, CPC, is director of patient care management at Lenox Hill Hospital in New York City. She has a solid clinical nursing background in both critical care and public health. Her ongoing administrative experience includes over twenty years in healthcare management settings in New York and Pennsylvania. Her areas of expertise include utilization and denial management, reimburseme
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Day Egusquiza is the President of AR Systems, Inc. and brings over 30 years experience in health care reimbursement, 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 physicia
Learning Objectives:
Create an effective, efficient working environment for handling and processing of the RAC letters.
Create tools for conducting both defense (determining vulnerability) and validation (once RAC letter is received) audits.
Develop step by step processes along with decision making tools for each of the appeal levels.