Annette Lee, RN, MS, COS-C, HCS-D
It may seem simple, but agency staff often struggle to truly understand what Medicare truly covers. In this session, the speaker will provide an overview of what is covered and what pieces of documentation are required to ensure a compliant claim that will stand up to review.
Annette Lee, RN, MS, COS-C, HCS-D
Lack of appropriate or comprehensive documentation is a major challenge for coders. In this session you will learn ways to get better information from physicians, including how to you create a compliant query and identifying when to query and when not to. Learn how to “lead from the middle” and help clinicians understand exactly what information coders need from documentation. Plus, get insight into ways to get more detail from intake and how to work with coding managers and QA staff to get this information.
TOOL: Sample query
Annette Lee, RN, MS, COS-C, HCS-D
Get up to speed on how coding and documentation impact compliance and aide in avoiding additional documentation requests (ADRs), fines and penalties. How does you ensure coding is consistent with the face-to-face documentation, plan of care and the OASIS? How do you get this right every time? During this session, the speaker will explore these issues to ensure staff are up to speed and working to the best of their abilities.
12:40 p.m. — 1:40 p.m.Annette Lee, RN, MS, COS-C, HCS-D
During this interactive session, apply what you’ve learned. Scour examples of documentation to identify the information you need to code appropriately. Work through common home health scenarios to learn how a coding misstep could cost your agency hundreds in reimbursement. (For non-coders, get a better picture of what coders need.)
Annette Lee, RN, MS, COS-C, HCS-D
Eight months into PDGM, what have we learned? Take a deep dive into the key components of documentation made even more important by the new payment model. Understand what’s required and how it impacts payment.
J’non Griffin, RN, MHA, HCS-D, HCS-C, HCS-H, COS-C
Improve your understanding of PDGM, case-mix weights, HHRGs, reimbursement trends and what they all mean to the bottom line. Get hints as to what data you should be looking at beyond how many visits your staff makes or how many records a coder can review in a day. Plus, learn how to tackle common challenges with utilization and operations.
TOOL: PDGM case-mix reference sheet
J’non Griffin, RN, MHA, HCS-D, HCS-C, HCS-H, COS-C
Understand what qualifies as a significant change in condition and what to do when such a change is expected before care begins. Work through common questions including: Do the OASIS and claim need to match every time? How should you support a coding change through documentation? How can the coder and biller work together on this?
J’non Griffin, RN, MHA, HCS-D, HCS-C, HCS-H, COS-C
Gain strategies to improve productivity and get the information needed to code quickly and accurately. This is crucial with a 30-day payment period. There will be penalties for Requests for Anticipated Payments (RAPs) and notices of admission that aren’t submitted within five days, starting in 2021 and beyond. Learn how to tackle this turnaround problem now.
12:40 p.m. — 1:40 p.m.J’non Griffin, RN, MHA, HCS-D, HCS-C, HCS-H, COS-C
Work through common home health scenarios to learn how a coding misstep could cost your agency hundreds in reimbursement.
J’non Griffin, RN, MHA, HCS-D, HCS-C, HCS-H, COS-C
Coding is even more important to accurate payment under PDGM, with many common diagnoses previously used in home health no longer considered acceptable primary diagnoses under the new model. Even so, the requirement for ethical, accurate and compliant coding hasn’t changed. Understand the model as well as coding best practices to ensure compliance.
| Pre-conference Schedule At-a-glance | |
|---|---|
| 8:00 a.m. – 9:00 a.m. | Registration & Continental Breakfast |
| 9:00 a.m. – 12:40 p.m. | Concurrent Sessions |
| 12:40 p.m. – 1:40 p.m. | Networking Lunch — Provided |
| 1:40 p.m. – 2:55 p.m. | Concurrent Sessions |
| 2:55 p.m. – 3:10 p.m. | Networking & Refreshment Break |
| 3:10 p.m. – 4:25 p.m. | Concurrent Sessions |