Essential Training At Your Finger Tips

"The Centers for Medicare & Medicaid Services (CMS) has fully resumed all medical review activities. Getting selected for an audit has significant ramifications, including the need to devote resources to responding to and dealing with the results. Post-payment reviews, such as Unified Program Integrity Contractor (UPIC) audits, can put $100,000 on the line, potentially reaching into the millions. Providers must be aware of risk factors and trends in agency documentation that may prompt review or denial. It is crucial to reduce risk continuously and respond assertively to reviews. The Medicare Review Choice Demonstration (RCD) does not protect agencies from UPIC activity, and audits clearly show the provisional nature of pre-claim review affirmations. With numerous reviews of medical records and multiple contractor audits, prevention is the best course of action. In the face of financial disruptions resulting from a review, prompt positive actions and knowing your options are key to keeping your agency solvent. This presentation is based on 25 years of experience assisting agencies with medical reviews, as well as current UPIC audit trends."   Read more

During this session, participants will learn how to manage their agency's Low Utilization Payment Adjustment (LUPA) percentage while still providing maximum patient care. The speakers will share the tools, techniques, and education they used to reduce their LUPA rate from 18.2% to 9% in one year. If you are above the national benchmark of 10%, come learn how to live the LUPA lifestyle. Read more

According to the Patient-Driven Groupings Model (PDGM) regulations, a home health agency generates 75% of its revenue from ICD-10-CM diagnoses and Outcome and Assessment Information Set (OASIS) coding. To maximize revenue, all coding elements must be accurate. In this session, participants will gain a better understanding of the significance of meticulous coding for primary and co-morbid diagnoses, as well as OASIS assessment coding. Don't leave money on the table because of inaccurate coding or assessments.  Read more

The purpose of this session is to "show you the money" under the Expanded Home Health Value-Based Purchasing (HHVBP) Model. Attendees will learn how to improve patient outcomes by re-engineering the discharge process in a progressive and innovative manner.  Read more

This session will discuss social determinants of health, health literacy, and the challenges associated with measuring them. As part of the presentation, these concepts will be linked to the Outcome and Assessment Information Set (OASIS) for home health agencies. Read more

This session provides an overview of the Medicaid Electronic Visit Verification (EVV) program in Florida. Participants will gain a better understanding of clearinghouses, billing issues, and how to resolve them. Read more