Agenda

Get up-to-the-minute details on the five-state pre-claim review demonstration that began in Illinois in August. Experts predict that CMS will roll this out nationally and that all agencies will be required to follow the same expensive and time-consuming steps for submitting documentation to get paid. Don’t be left behind. Understand CMS’ new expectations for home health agencies and walk away with best practices for submitting adequate documentation to prevent denials and get paid.

Find out how agencies are faring in the new world of ICD-10 and how to prevent claim backlogs and denials due to insufficient and incorrect coding. Adopt audit processes to ensure that you are collecting the level of detail needed from physicians and that your clinicians and coders are choosing the right codes. Plus, find out how you can leverage the end of the physician ICD-10 grace period to capture more thorough documentation from your referring docs.

More than two-thirds of respondents to a recent DecisionHealth survey said they received denials during their probe-and-educate review that they believed were unfounded. During this interactive workshop, veteran attorney Bob Markette will walk you through the process of responding to ADRs. And then if you receive a denial, he’ll share whether or not your denials are worth appealing, your chances of winning and how long it will take. You will have a chance to work in groups to collectively come up with ways for winning a denial on appeal.

Comply with the latest OASIS-C2 guidance manual changes including the wound changes that threaten to impact payments. Get tips for ensuring that your OASIS assessments not only are completed accurately but that they are consistent with the information presented in the plan of care and that they’re filed timely to prevent interruptions to your cash flow.