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SC Leadership Summit for Home Health, Home Care and Hospice
Speaker: Melinda A. Gaboury
Thursday, June 13, 2019 | 9:30 AM - 11:00 AM | Top 5 Hospice Medical Review Denials and How to Avoid Them
In the current environment of targeted and third party reviews, there is a constant concern of reviews that could result in recoupment of payments already made to hospices. This session will narrow the focus to the top five denial reasons, go into depth on each one and provide broader concepts. This session will highlight the documentation requirements to avoid the denials and the regulations that support. If your hospice is currently in a review or is just looking to improve the quality review standards, this session is a must.
1:30 PM - 3:00 PM | PDGM Changes Cannot Start Soon Enough!
The most significant change in Homecare Reimbursement in 20 years will go into effect January 2020. The Patient Driven Groupings Model (PDGM) is complicated, confusing, and overwhelming. CMS has provided some data on the revenue impacts and new PDGM components but there is more to be considered. Operational areas likely impacted under the new payment model include referral and sales management, intake, revenue cycle, operational reporting, order and supply management, and much more. This session will highlight the areas impacted and outline potential process changes to assist in optimizing operations performance under PDGM.
- Melinda A. Gaboury, CEO
- Hosted By:
- AHHC of NC & SCHCHA