Clinical Validation Reviews: Trending Topics and Response Strategies

Richelle Marting, Attorney.

2022-01-27

  • Definition of clinical validation reviews and distinguished from DRG validation reviews.

  • Discussion of the clinical validation review process and key strategies for successfully defending diagnoses.

  • Identification of trends in clinical validation reviews.

  • Discussion of statutory, contractual, and clinical considerations for successful appeals.

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The Society of Corporate Compliance and Ethics (SCCE) is a non-profit, member-based professional association. SCCE supports our members' work with education, news, and discussion forums. We are a community of leaders, defining and shaping the corporate compliance environment across a wide range of industries and geographic regions. In developing and maintaining effective ethics and compliance programs, our members strengthen and protect their companies.

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The Health Care Compliance Association (HCCA), is a 501(c)6 non-profit, member-based professional association. HCCA was established in 1996 and is headquartered in Minneapolis, MN. We provide training, certification, and other resources to over 10,000 members. Our members include compliance officers and staff from a wide range of organizations, including hospitals, research facilities, clinics and technology service providers.

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