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TAHC Virtual Annual Conference

Description:

Speaker: CEO, Melinda A. Gaboury
Medical Review in the Hospice Medicare Certified World | Tuesday, May 18, 2021 | 10:30am -11:30am CST

This session will take agencies through the winding road of Medicare scrutiny. While billing the Medicare benefit and getting paid relatively easy, there is always a risk of things being reviewed at some point and what can you do to avoid denials. Participants will be able to define the levels of Medical Review that are currently active: including, UPIC, SMRC, MAC ADR, and RAC. The session will review how to respond to any level of medical review that may occur. This session will also discuss PEPPER reports and other data analysis that agencies will need to review to ensure that their risk from medical review is limited. This session will review some Tennessee specific PEPPER data so you can tell where you stand compared to others in the state. Do not be caught in the position of believing that everything is just okay or that the Public Health Emergency is a shield from medical review. Attendees will take away information that will assist in assuring that your hospice truly is accurately documenting.

Hospice Eligibility Documentation | Tuesday, May 18, 2021 | 12:30pm-1:30pm CST

Accurate hospice eligibility documentation is critical to fulfilling the CoPs and payment requirements. The lack of supporting documentation for a terminal prognosis is the number one reason for denial. Reviewers often look for a significant decline in patient condition. Although this is not a requirement of hospice care, terminal prognosis is. The session will help clinicians document the slightest changes in baseline measures. More importantly, you’ll learn how to capture in documentation the occurring changes that support terminal prognosis – even without a decline in baseline measures. Go beyond the LCDs and common tools for documenting eligibility by drilling down to the details and characteristics that differentiate terminal and chronic patients with the same diagnosis. This session will include the following: • Detail the technical eligibility requirements for hospice; • Outline the documentation requirements for patients to meet hospice eligibility upon election/admission and throughout the course of care; • List the elements that Medicare MACs are not accepting as eligibility supporting documentation & • Document the differences between terminal prognosis and chronic condition.

Event Type:
When:
May 18
Where:
Webinar
Time:
10:00 am - 2:00 pm CST
Speaker:
Melinda A. Gaboury, CEO
Hosted By:
TAHC
Registration:

Become an HPS Alliance Member!

 

The HPS Alliance is a Membership-based Home Care and Hospice Educational Resource.

Healthcare Provider Solutions is dedicated to providing our clients with industry leading education in order to keep you informed, educated, and performing at the highest level of success.

We provide online education through our HPS Alliance. Our annual membership provides members with the education necessary to establish and maintain a successful agency. Our mission at HPS is to provide the highest quality of products and services to healthcare providers enabling them to maximize their operations potential and enhance reimbursement.

 

 

  • Six ninety minute Home Care webinars taught by Melinda A. Gaboury, CEO
  • Six ninety minute Hospice webinars taught by Leslie Heagy, RN, COS-C
  • Two-day Home Care Medicare Compliance/Reimbursement workshop taught by Melinda A. Gaboury, CEO
  • Two-day Hospice Medicare Compliance/Reimbursement workshop taught by Leslie Heagy, RN, COS-C
  • Full access to the Home Care and Hospice Compliance & Reimbursement training video series (updated annually to include the latest regulatory changes)
  • Immediate access to our Home Health & Hospice Audit Tools plus many more Alliance only resources
  • Consulting support from our staff via the Alliance member portal
  • Critical updates affecting the Home Care and Hospice community delivered via our website, social media, and email
  • 10% off hourly consultation services with our team of seasoned professionals
$399/Annually

*All Alliance workshops are held in Nashville, TN.

*Access all videos and recordings from the Alliance member dashboard.