Medicare Boot Camp®—Healthcare Claims Audit is your key to proven strategies for success and will answer your questions on designing a claims audit that is meaningful to an organization.

This Boot Camp teaches you about developing a claims audit process from beginning to end, incorporating official guidance and regulations required for an effective compliance program. You’ll leave the class armed with a thorough understanding of how to build a strategic risk-based audit and ready to put your new knowledge into action for tangible results.

You will leave this program knowing how to:

• Assess areas of risk
• Structure a risk-based audit
• Effectively select an audit sample
• Draft meaningful audit reports

 Medicare Boot Camp®—Denials and Appeals Version is your key to proven strategies for success and will answer your questions on denials management and appeals processes.
 

This Boot Camp teaches you about the latest claim audit and appeal issues based on official guidance and regulations. You’ll leave the class armed with a thorough understanding of the audit and appeal process and ready to put your new knowledge into action for tangible results.

 

You will leave this program knowing how to:

• Prepare for CMS audits
• Navigate the appeals process up through and beyond the Administrative Law Judge level
• Research denials and upcoming audit focus areas
• Implement policies to support efficient appeals and identify appropriate denials to appeal