THE RISING TIDE OF PAYER REQUESTS FOR MEDICAL RECORDS: HOW TO SHORE UP YOUR DEFENSE
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1.0 AHIMA CEU Discover tips and best practices to shore up your defenses against the rising tide of payer requests for medical records. What’s covered:
- Differences between audits and reviews, and for which types of requests payers and their partner vendors are willing to pay fair rates
- Strategies for negotiating medical record language in managed care contracts
- ROI workflows for handling audits and reviews, including outsourced, centralized remote processing
- Emerging concerns around payer requests for direct access to EMRs
- Recommended practices to safeguard healthcare organizations and patient privacy
