Description
ADRs (Additional Documentation Requests) are still very much a part of our ever-changing healthcare landscape and while they can require extra time on the part of the provider to address, they can also present a tremendous opportunity for the agency to learn where their weaknesses lie. This presentation will focus on the various types of ADRs and how to respond and will delve into F2F documentation and medical necessity requirements, that qualify a home health beneficiary for services. You will also learn about the most common denial reasons and how your agency can avoid them, as well as pre-payment and post-payment ADRs and their impact on RCD. Please plan to join us and learn how to use the ADR process as a way to not only identify what your agency’s strengths are, but more importantly learn about your opportunities for improvement and how to shore up any weaknesses in your documentation.
Course Author: Lisa MCClammy, BSN, RN, COS-C, HCS-D
Objectives
Attendees will learn about:
- Home health coverage guidelines including all F2F requirements and medical necessity requirements will be discussed in detail
- The most common reasons for claim denial will be discussed to avoid those common errors
- Some of the various types of pre-payment and post-payment ADRs will be discussed
- How does all of this fit into the Review Choice Demonstration states?
Certificate
By completing/passing this course, you will attain the certificate HCAF Course Certificate
Learning Credits
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