Optimization Strategies for Medi-Cal Audits and Appeals

DATE:  Thursday June 10, 2021
TIME:  10:00am-11:15am

In seeking to optimize the outcomes of Medi-Cal audits and appeals of rate setting cost reports, change-in-scope of services requests, and PPS Reconciliations; it is critical for Community Health Centers to first understand these processes. Led by two experts in the audits and appeals process, this webinar will prepare participants with the understanding and use of best practices  to develop and implement successful strategies that result in favorable outcomes for your organization. 

  • Identify the various stages of the Medi-Cal audit process for rate setting cost reports, change-in-scope of services requests, and PPS Reconciliations;
  • Strategically assess post-audit options such as negotiation, escalation, and informal and formal appeals
  • Apply best practices throughout these processes that are suitable to their unique circumstances.

  • Kathryn Doi, Partner, Hanson Bridgett, LLP
  • Carlos Jimenez, Director, WIPFLI, LLP

There is no fee for this webinar thanks to support from Hanson Bridgett, LLP, a CPCA Annual Sponsor.

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*Last year, in recognition of the tremendous financial stress members were facing and to ensure that important and timely information could be accessed with no barriers, CPCA elected to waive training fees for the entire membership year (April 1,2020- March 31, 2021) and offer all training at no cost. As we continue to work in this pandemic environment to provide members the support they need, we must also plan for the future while supporting community health centers in improving the health status of their communities through advocacy, education, and services. Which is why the Board of Directors approved a budget in February that reflects a reinstatement of training fees effective for trainings taking place on or after April 1, 2021. If you have any questions or concerns about this change, please email us at training@cpca.org.

For more information regarding our policies, please visit the training homepage.

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Disclaimer: The information on this session is intended only to provide a general overview of the topics addressed.  This session is not intended to provide legal advice or substitute for the guidance, counsel or advice of legal counsel on any matters particular to a specific primary care clinic. CPCA does not endorse companies or products. Advertising and sponsorship revenue supports our not-for-profit mission. 

6/10/2021 10:00 AM - 11:15 AM
Online Via GoToWebinar

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