Essential Training At Your Finger Tips

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

The PDGM has brought many changes to home health and the PDGM is not all that reimbursement is made up of. In addition to working through the fine details of the PDGM changes, the workshop will also cover extensive examples for Low Utilization Payment Adjustments (LUPAs), Partial Episode Payments (PEPs), and outlier adjustments. There will be a discussion of pre-billing claim reviews and the significance of them.  The impact of OASIS, ICD-10 coding, and medical review programs have the potential to more directly impact reimbursement than some of the other aspects of the PDGM, and this workshop will get you up to date on all of that as well. Additionally, with cash flow being one of the gravest areas of concern for providers in recent months, this workshop will take you through the basics of cash flow projections and how best to make that work in your organization.  Whether you are a biller, collector, or administrator, this workshop is just what is needed to get you up to date on all things home health reimbursement.  What is billable and non-billable in today’s COVID-19 pandemic world? Can you bill for telehealth visits? Does your physician and non-physician practitioner telehealth face-to-face encounter contribute to your patient eligibility for home health? These and many other questions will be answered in this information-packed two-day workshop. Don’t miss the opportunity to hear strategies and lessons learned during this public health emergency from national speaker Melinda Gaboury, CEO of Healthcare Provider Solutions, Inc.  During this workshop providers will learn why it’s so important to understand the billing flexibilities that were afforded to Medicare providers to ensure cash flow doesn’t stop. If one or more,of these billing parts are missing or are incorrect, agencies set themselves up for denials, Additional Documentation Requests, and a host of other billing dilemmas that should be avoided. Participants will walk away with a much clearer understanding of Medicare billing practices under the PDGM and COVID-19. Course Author: Melinda Gaboury  Read more

The PDGM has brought many changes to home health and the PDGM is not all that reimbursement is made up of. In addition to working through the fine details of the PDGM changes, the workshop will also cover extensive examples for Low Utilization Payment Adjustments (LUPAs), Partial Episode Payments (PEPs), and outlier adjustments. There will be a discussion of pre-billing claim reviews and the significance of them.  The impact of OASIS, ICD-10 coding, and medical review programs have the potential to more directly impact reimbursement than some of the other aspects of the PDGM, and this workshop will get you up to date on all of that as well. Additionally, with cash flow being one of the gravest areas of concern for providers in recent months, this workshop will take you through the basics of cash flow projections and how best to make that work in your organization.  Whether you are a biller, collector, or administrator, this workshop is just what is needed to get you up to date on all things home health reimbursement.  What is billable and non-billable in today’s COVID-19 pandemic world? Can you bill for telehealth visits? Does your physician and non-physician practitioner telehealth face-to-face encounter contribute to your patient eligibility for home health? These and many other questions will be answered in this information-packed two-day workshop. Don’t miss the opportunity to hear strategies and lessons learned during this public health emergency from national speaker Melinda Gaboury, CEO of Healthcare Provider Solutions, Inc.  During this workshop providers will learn why it’s so important to understand the billing flexibilities that were afforded to Medicare providers to ensure cash flow doesn’t stop. If one or more,of these billing parts are missing or are incorrect, agencies set themselves up for denials, Additional Documentation Requests, and a host of other billing dilemmas that should be avoided. Participants will walk away with a much clearer understanding of Medicare billing practices under the PDGM and COVID-19. Course Author: Melinda Gaboury  Read more

The PDGM has brought many changes to home health and the PDGM is not all that reimbursement is made up of. In addition to working through the fine details of the PDGM changes, the workshop will also cover extensive examples for Low Utilization Payment Adjustments (LUPAs), Partial Episode Payments (PEPs), and outlier adjustments. There will be a discussion of pre-billing claim reviews and the significance of them. The impact of OASIS, ICD-10 coding, and medical review programs have the potential to more directly impact reimbursement than some of the other aspects of the PDGM, and this workshop will get you up to date on all of that as well. Additionally, with cash flow being one of the gravest areas of concern for providers in recent months, this workshop will take you through the basics of cash flow projections and how best to make that work in your organization. Whether you are a biller, collector, or administrator, this workshop is just what is needed to get you up to date on all things home health reimbursement. What is billable and non-billable in today’s COVID-19 pandemic world? Can you bill for telehealth visits? Does your physician and non-physician practitioner telehealth face-to-face encounter contribute to your patient eligibility for home health? These and many other questions will be answered in this information-packed two-day workshop. Don’t miss the opportunity to hear strategies and lessons learned during this public health emergency from national speaker Melinda Gaboury, CEO of Healthcare Provider Solutions, Inc. During this workshop providers will learn why it’s so important to understand the billing flexibilities that were afforded to Medicare providers to ensure cash flow doesn’t stop. If one or more,of these billing parts are missing or are incorrect, agencies set themselves up for denials, Additional Documentation Requests, and a host of other billing dilemmas that should be avoided. Participants will walk away with a much clearer understanding of Medicare billing practices under the PDGM and COVID-19. Course Author: Melinda Gaboury  Read more