"Defensible documentation" refers to charting that can withstand scrutiny from various medical reviewers aiming to recoup payments for unnecessary or inappropriate care. In legal contexts, it provides clear evidence of the care provided, by whom, and when. Simply following an electronic medical record (EMR) template may not suffice. This presentation starts by exploring key Medicare rules and regulations as they relate to National Government Services (NGS) Local Coverage Determinations (LCD) to support hospice documentation, terminal prognosis, and level of care. By linking actual requirements with common denial reasons, it demonstrates how proper documentation can prevent a negative outcome, such as denied payment. Key hospice charting timepoints, including Certification of Terminal Illness (CTI), face-to-face encounters (F2F), and interdisciplinary meetings (IDT/IDG), are covered, along with specific signs, symptoms, labs, assessments, and indicators necessary to support hospice coverage. Speaker/Course Author - Joe Osentoski, BAS, RN, GERO-BC Read more
"Defensible documentation" refers to charting that can withstand scrutiny from various medical reviewers aiming to recoup payments for unnecessary or inappropriate care. In legal contexts, it provides clear evidence of the care provided, by whom, and when. Simply following an electronic medical record (EMR) template may not suffice. This presentation examines real denial examples, identifies their causes, and offers charting examples to address them. A condensed overview of essential home health coverage requirements for nursing and therapy, as outlined in the Medicare Benefit Policy Manual (Chapter 7, Section 40) and 42 CFR, equips attendees with foundational regulatory knowledge. Linking Medicare rules and regulations to charting requirements enables clinicians to demonstrate compliance effectively. By implementing meaningful, well-documented skilled visits, agencies can achieve favorable outcomes in various reviews, including the Home Health Value-Based Purchasing Model (HHVBP), Targeted Probe and Educate (TPE), Unified Program Integrity Contractor (UPIC), Supplemental Medical Review Contractor (SMRC), Recovery Audit Contractor (RAC), and Comprehensive Error Rate Testing (CERT) reviews. Defensible documentation is also crucial in supporting Medicare Advantage services and Medicaid claims. Speaker/Course Author - Joe Osentoski, BAS, RN, GERO-BC Read more
Join us for an insightful webinar on post-hospitalization syndrome (PHS) and its impact on patients being managed in home health. This engaging event will empower home health agencies to recognize the syndrome, assess patient risk factors, and implement effective strategies for improved care and reduced readmissions. Don't miss this opportunity to enhance your knowledge and elevate the quality of care you provide. Speaker/Course Author - Monika Virk, M.D. Read more
Enhance your sales expertise with advanced strategies focused on the strategic expansion of clinical populations. In this session, the speaker will delve into innovative approaches for identifying, targeting, and engaging specific clinical populations, propelling your home health agency's growth to new heights. Gain insights into effective sales techniques that align with the unique needs and preferences of distinct clinical groups, optimizing your agency's market presence and fostering sustainable growth. Seize this opportunity to refine your sales strategy and unlock the potential for targeted clinical population expansion. Speaker/Course Author - Melynda Capps Lee, MBA, MA Read more
There is no silver bullet to the current workforce crisis the health care industry is facing. No one can "solve" the problem and magically eliminate the shortages we face. Those are facts. However, you can do something about it. This session will offer a message on how true leadership can ensure your organization thrives in the race to acquire and retain talent. Attendees will walk away feeling inspired to lead their teams positively, fostering a culture that propels talent toward the organization, creating additional value. With a focus on excellent, employee-centric leadership, positive organizational results will follow, and your organization will be positioned for greatness! Speaker/Course Author - Eric Scharber Read more
Join us for an engaging session tailored to Medicare home health professionals eager to enhance their clinical management skills. Presented by J'non Griffin, Principal of SimiTree, this session will explore opportunities for providers to elevate patient outcomes and financial performance by harnessing the power of data and benchmarks. Additionally, we'll delve into the integration of case management strategies into this dynamic discussion, providing a comprehensive approach to healthcare delivery. Participants will learn to navigate the complexities of clinical management effectively, ensuring improved patient care and financial success for your agency. Don't miss this chance to optimize your clinical practices and achieve excellence in home health services. Speaker/Course Author - J'non Griffin Read more
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