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This webinar is being planned in order to give practical, real-life help to home care agencies tackle the RCD hurdle. This will not just be a high-level review of RCD. Instead, we will take a deep dive into the common problem areas associated with RCD in the states that have already implemented the RCD demo. Please join us safely online to learn how to decrease the hazards of non-affirmation and claim denials. Speaker DeAnn Briscoe, BSN, RN, COS-C will explore common areas which trigger non-affirmations or claim denials in the RCD process. She will also share strategies from Texas, Ohio and Illinois to increase your success in the medical review process of RCD. Of course, it will be a wonderful scenario if RCD is further delayed until the current public health emergency is behind us, but we cannot assume that will happen! The time to prepare is unfortunately now! Speakers/Course Authors - DeAnn Briscoe BSN, RN, COS-C  Read more

The Medicare Review Choice Demonstration (RCD) begins in Florida on August 31, 2020, coinciding with the novel coronavirus (COVID-19) outbreak and the new Patient-Driven Groupings Model (PDGM) payment overhaul. Prepare now for RCD success with a webinar presentation by Palmetto GBA for home health providers that will review the basics of this five-state demonstration. This presentation will demonstrate how providers can select the review choice option through Palmetto GBA's online eServices portal during the two week window, August 3 through August 17. Additionally, lessons learned from the RCD in Illinois, Ohio, and Texas will be examined. Don't miss this opportunity to hear directly from your Medicare Administrative Contractor and get answers to your questions before the August 31 implementation.    Speakers/Course Authors - Cara Mia Wilkins & Elizabeth Brogdon    Read more

The Centers for Medicare & Medicaid Services (CMS) is committed to taking critical steps to protect vulnerable Americans to ensure America’s health care facilities are prepared to respond to the Coronavirus Disease 2019 (COVID-19) Public Health Emergency (PHE). In this 60-minute webinar, we will review what surveyors expect to see in your infection control plan, including monitoring, policy regarding COVID-19, and your plan of action around positive patients and employees.  Course Author: J'non Griffin RN, MHA, WCC, HCS-D, HCS-H, COS-C  Read more

When it comes to incontinence, revolutionary products for caregivers and end users are now available. Women have ways to effectively manage urinary incontinence when current methods like adult diapers, absorbent pads, and indwelling catheters cause unwanted conditions such as dermatitis and UTIs. Currently used in over 2000 hospital in the country, the Purewick system, which has been seeing increasing demand with patients utilizing from hospital to the home, will be discussed.  Course Author: Meredith Cole, RN and Paul Pesca  Read more

While 2020 began with the change to the Patient-Driven Groupings Model (PDGM) for reimbursement taking up home health agencies’ attention, the expansion of Review Choice Demonstration (RCD) was soon to follow. Both of these have been affected by the onset of the Covid-19 pandemic and resulting Public Health Emergency (PHE). At some point the PHE will expire, followed by a resumption of medical review activities by Medicare contractors. Medicare contractors normally use Targeted Probe and Educate (TPE), Unified Program Integrity Contractor (UPIC), Recovery Audit Contractor (RAC), and Supplemental Medical Review Contractor (SMRC) reviews to evaluate claims for coverage and payment. How the PDGM provides payment will also have a significant impact on review results. This presentation will walk attendees through the PDGM payment model and how it affects medical reviews and denials. The impact of RCD activity on medical reviews is significant, both for agencies who choose a Pre-Claim Review option or an Additional Development Review (ADR) choice. This presentation will focus on agency actions to lower risks of being chosen for medical review and high-risk areas for denials. The status of the RCD and preparation tasks for when the RCD is started will be addressed. Finally, the PHE changes are also covered with suggestions for compliant documentation during the PHE to prevent problems after the PHE has ended. This program benefits home health agency Administrators/Managers, Clinical Supervisors/Managers, Directors of Nursing, and QA/QI staff. Course Instructor - Joe Osentoski Read more

The IRS 1099 independent contractor model can be the ideal setup for some employers and workers. However, the misclassification of workers — a risk that is significantly increased when housing independent contractors in a Human Resource Management System (HRIS) — can be costly. By understanding how to interact with independent contractors, how to train employees on their interactions with independent contractors, and what systems to use to document the difference between W-2 employees and 1099 contractors, you can take the necessary steps to mitigate the risk of an audit and class-action lawsuit. Register for and attend this online education program for expert insights and guidance for your business.    Course Author: Wendy Greenland, Chris Laverdure, and Deborah Stevens  Read more

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