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Leveraging Technology to Optimize Quality Assurance Strategies

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September 15, 2021 @ 1:30 pm

Provider accuracy has often been a challenge as it relates to the submission of diagnoses. However, there are strategies, best practices, and effective technologies to consider that can help improve and remove these accuracy barriers that payers face today. Additionally, having the most up-to-date CMS guidance related to Quality Assurance requirements is key to being on top of what you need in order to succeed. The topics at a glance that will be discussed are:

* Learn how to utilize your Quality Assurance team to create the optimal strategies for maximizing RAF gain while remaining compliant
* Leveraging sophisticated technology to enhance Quality Assurance strategies and elevate coder performance
* Multi-Level Quality Assurance
* Targeted/Focused Quality Assurance (Telehealth, HCC level, ICD-10 CM)
* Sampling of High Risk Areas (HCC level & ICD-10 CM)
* Unsupported diagnoses for strategies of GAP closure needs<br?>* Discuss how Quality Assurance outcomes build provider education programs to improve suspecting gap closure at the point of care