Essential Training At Your Finger Tips

Don’t leave revenue on the table due to a coding error after October 1, 2024! Be sure you are prepared to submit your Pre Claim Review episodes of care with the correct primary diagnosis and the corresponding provider progress note. Join us for this webinar to learn about the 2025 ICD-10-CM updates for FY 2025. These 2025 ICD-10-CM codes are to be used for patient encounters starting from October 1, 2024, through September 30, 2025, regardless of whether you are billing Medicare, Medicaid, TRICARE, or a commercial payer. The latest update includes 252 new codes, 36 code deletions, and 13 code revisions. Learn how to use the 2025 Conversion Table which identifies the ICD-10-CM codes that are inactive as of October 1, 2024, and their replacement codes. Timely correction of inactive codes is essential to avoid claim rejections for October 2024 billing. To get it right from the beginning, your intake staff must know what to prioritize and what documentation you will need. As part of this program, we will also discuss any clinical grouping or comorbidity changes associated with those codes. Speakers/Course Authors - J'non Griffin, RN, MHA, HCS-D, HCS-C, HCS-H, COS-C Read more

This webinar will include the most recent update on the Value Based Purchasing Expansion, which has already had numerous changes finalized for 2025 implementation. We will highlight the most recent Interim Performance Reports (IPRs) and provide feedback on where agencies are struggling the most. Speakers/Course Authors - Jennifer Osburn Read more

With recent changes to the Centers for Medicare & Medicaid Services (CMS) Appendix B survey process and heightened regulatory scrutiny, it's crucial for home health leaders to prioritize survey readiness, particularly in avoiding condition-level deficiencies and immediate jeopardy. This webinar will focus on CMS State Operations Manual Appendix Q – Immediate Jeopardy (IJ), providing an overview of the current survey landscape, common IJ findings, and the IJ determination process, including its timeline and impact on home health agencies. We’ll also discuss specific strategies that home health leaders can implement to ensure compliance with survey requirements and mitigate the risk of IJ citations. Speakers/Course Authors - Kimberly Skehan, RN, MSN, HCS-D, COS-C Read more

Join us for an immersive session where participants will explore the application of current ICD-10 coding guidelines in home health. Whether you're a novice or seasoned coder, this session offers invaluable guidance on selecting accurate codes to ensure compliance and precision in your claims. Emphasizing the importance of face-to-face encounters in coding, attendees will gain practical skills and insights essential in the coding process. Don't miss this opportunity to refine your coding proficiency!   Speakers/Course Authors - Nanette Minton Read more

Since the implementation of PDGM, home health providers have faced many regulatory and financial challenges. Providers’ ability to maintain adequate revenue while meeting new and changing regulatory requirements and navigating ongoing reductions in CMS reimbursement is top of mind. The good news? There’s an opportunity to turn these regulatory and financial challenges into achievements. By dedicating time and effort to regulatory changes that impact revenue, care organizations can maintain control of their financial future. A few of the key drivers for improving home health providers’ financial performance include: A) Increasing the number of 30-day periods per patient (Periods per Episode), B) Increasing recertification rate and C) Mitigating avoidable LUPA.  Some providers, however, have responded to increasing ADR and TPE audits by limiting the number of 30-day periods per patient, reducing the volume of recertifications and, consequently, increasing the number of avoidable LUPA within their organization. This presentation will delve into clinical documentation best practices to support reasonable and necessary skilled care, reduce the risk of audit denials, and allow providers to focus on those key drivers for improving financial performance.   Speakers/Course Authors - Carissa McKenna & Arrica Canty Read more

More than 75% of agencies under the Review Choice Demonstration choose Pre Claim Review (PCR). Medical necessity was one of those things that we never really had to think much about under PCR.  It was the one thing that Palmetto wasn’t focused on during their reviews…Well…now that RCD has been extended another 5 years, there is a renewed focus on the it by Palmetto. So, are your PCR submissions ready for the increased scrutiny? This session will cover the basics of Medical Necessity under the Medicare benefit and we will learn what Palmetto is looking for and how to provide the information needed to get those quick affirmations.  All this while using what you already have in your charts and without spending more time on the overall process.  Discussion will include the “ new” wound care and Hand-Off requirements. Medical necessity…it’s baaack!   Speakers/Course Authors - Kim Wilkerson Read more