Description
The Medicare Review Choice Demonstration (RCD) has introduced several compliance tools, yet Unified Program Integrity Contractor (UPIC) audits often reveal shortcomings in RCD implementation. By integrating RCD best practices with UPIC findings, agencies can pinpoint areas for optimizing clinical documentation and deliver cost-effective care. This approach aims to yield positive outcomes in the Home Health Value-Based Purchasing (HHVBP) program while minimizing financial disruptions from UPIC or other payer reviews. It encompasses both agency record generation processes and care management principles. Don't miss this opportunity to enhance your agency's compliance efforts and drive excellence in home health care.
Speakers/Course Authors - Joe Osentoski
Objectives
Course Objectives:
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Attendees will be able to state the RCD record submission contents and how it facilitates compliance.
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Attendees will be able to restate 5 common UPIC claim denial reasons and how agency actions may prevent them.
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Attendees will be able to identify actions to prevent unplanned patient hospitalizations.
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Attendees will be able to implement staff training on care management skills to document skilled, ordered, reimbursable service that obtains improved HHVBP results.
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Attendees will be able to self-assess agency chart generation, plan of care content and implementation, and home health resources available to create records that withstand reviewer scrutiny and provide for improved patient outcomes.
Certificate
By completing/passing this course, you will attain the certificate HCAF Course Certificate
Learning credits
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