Coders, clinical documentation integrity specialist and revenue cycle professionals will be the beneficiaries next Tuesday during the live edition of Talk Ten Tuesdays when healthcare attorney and litigator Brianna J. Santolli returns to the broadcast and cuts through the legal jargon to warn of tactics deployed by some Medicare Advantage Organizations (MAO) to preserve profits by inappropriately denying prior authorizations. Using a recent case conducted by U.S. Department of Health and Human Services, Office of the Inspector General, Santolli, a litigator at the law firm Kelley Drye & Warren LLP, will explain in clear and simple terms how even though, the coding and documentation was correctly reported for the services provided, MAO will often deny or delay services for medically necessary care.
Other segments during the live broadcast include the following: