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In less than four months, Medicare's Review Choice Demonstration (RCD) will begin in Florida. This presentation will help home health providers understand the review choice selection options and implications of each, as well as what happens when an agency reaches the 90-percent affirmation threshold. Get prepared for yet another federal initiative coming to Florida that is designed to reduce billing errors, waste, fraud, and abuse. Additionally, this presentation will review how the Patient-Driven Groupings Model (PDGM) and RCD processes will have to be in sync in order to have optimal revenue cycle management. Course Author: J’non Griffin, RN, MHA, WCC, HCS-D, HCS-H, COS-C PT credits awarded for course completions are approved for 1 year and expire at the end of the calendar year unless otherwise stated. For a complete list of courses offering PT credits for this year, click here. Read More

The Review Choice Demonstration (RCD) has officially been approved and implementation is imminent in the first of five states to be affected. RCD is basically a repurposed Pre-Claim Review (PCR) and in fact, if indeed the information was affirmed, PCR is one of three options that agencies get to choose from. This session will detail and review the current status of RCD, share experiences from PCR and discuss some of the prevalent processes within your agency that may need to be tweaked. Course Author:  Melinda A. Gaboury, COS-C​ Read More

Effective clinical management in your office amidst the torments of the Patient-Driven Groupings Model (PDGM) and Review Choice Demonstration (RCD) will be crucial for long-term stability and success. Managing a home health agency has never been easy, however the upcoming PDGM and RCD programs will make it feel that way. These programs create more obstacles for clinical supervisors who will now have to become SEAL and stealth like to navigate through. Success will require strong processes, diligent monitoring, and constant change management to continue to perfect the agency operations and outcomes. This program will provide the SEAL (Success Equals Always Learning) training and/or sharpen the skills necessary to become a clinical supervisor to overcome and effectively run a home health agency. More specifically, the speaker and participants will focus on three areas of management, which include episode and patient management, staff management, and office management.  Speaker/Course Author - Christina Crumbley RN MSN HCS-D HCS-O  Read More

The Medicare home health benefit has undergone significant policy changes over the past several years, and the future will be no different as we face the overhaul of the payment methodology system, continued scrutiny by auditors, and more demonstrations. Attend this informative session for a look at how Washington is reforming long-term care and explore myriad legislative and regulatory issues impacting providers, including the Patient- Driven Groupings Model, the Review Choice Demonstration, and more. Course Author:  William A. Dombi, Esq. Read More

Home health providers in Illinois, North Carolina, Ohio, Florida, and Texas are gearing up for implementation of the Review Choice Demonstration (RCD) in their states. During this presentation, Palmetto GBA’s Tammy Tucci will focus on the RCD program and selection process through the eService portal. She will discuss in detail the initial review and subsequent review choices. Additionally, Palmetto's CJ Sims will wrap up the session with a review of the clinical side of the home health benefit and what Palmetto is looking for when submitting a pre-claim review.    Course Author: Tammy Tucci, BA, Manager of Provider Outreach & Education, Palmetto GBA and CJ Sims, Senior Provider Education Consultant, Palmetto GBA  PT credits awarded for course completions are approved for 1 year and expire at the end of the calendar year unless otherwise stated. For a complete list of courses offering PT credits for this year, click here. Read More

Coding will be of utmost importance with the Patient-Driven Groupings Model (PDGM). If you get the primary diagnosis to fall into a category, is it the correct category and are you capturing the co-morbidity adjustment you are due? In this webinar, we will discuss the differences in coding in house and outsourcing. If you code in-house what is your back up plan? If you outsource, how do you know it’s correct? Know the right questions to ask. Make informed decisions about what is the right path to take going forward for the Review Choice Demonstration, PDGM, and outcomes.  Speakers/Course Authors - J'non Griffin Read More

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