This session will journey along the winding road of Medicare medical review scrutiny. After all, it’s not just about getting paid. Your charts need to be able to withstand agency questions, documentation inquiries, and every level of medical review. Ensure your process and documentation is ship shape and able to withstand official oversight.

AFTER THIS WEBINAR YOU’LL BE ABLE TO:

• Define medical review contractors and their focus of review
• Detail data analysis used to determine an agency’s area of focus
• Outline the process of submitting charts and content for review
• Define the top five denial reasons for medical review and how to avoid them
• Detail the criteria for hospices being selected for the Special Focus Program

WEBINAR DETAILS: While billing the Medicare benefit and getting paid is relatively easy, there is always a risk of review and denial.  This session will also cover the data analysis agencies need to review to ensure their medical review risk is limited. Don’t be caught in the position of believing that everything is okay. This session will also cover the new Special Focus Program (SFP) for poor performers. Attendees will learn how to ensure their documentation is accurate and will be able to successfully endure medical review of their charts.

THIS WEBINAR WILL BENEFIT THE FOLLOWING AGENCIES:  Hospice

WHO SHOULD ATTEND? This informative webinar will benefit administrators, directors, QA personnel, audit review staff, and the revenue cycle team. 

TAKE-AWAY TOOLKIT

• Checklist for submitting charts for medical review
• Training log
• PDF of slides and speaker’s contact info for follow-up questions
• Attendance certificate provided, however there are no pre-approved CEs associated with this webinar

DON’T MISS THESE RELATED WEBINARS!

VBID Update: Hospice Benefit Component & Medicare Advantage originally presented on Thursday, January 18, 2024 

2024 Hospice Billing Series: Part 2: Details of Medicare Claims Processing on Thursday, September 26, 2024

NOTE: All materials are subject to copyright. Transmission, retransmission, or republishing of any webinar to other agencies or those not employed by your agency is prohibited. Print materials may be copied for eligible participants only.

MEET THE PRESENTER:  Melinda Gaboury, COS-C, CEO, Healthcare Provider Solutions

Melinda Gaboury, with more than 30 years in home care, has over 22 years of executive speaking and education experience, including extensive day-to-day interaction with home care and hospice professionals. She routinely conducts home care and hospice reimbursement workshops and speaks at state association meetings. Melinda has profound experience in Medicare PDGM training, billing, collections, case-mix calculations, chart reviews, and due diligence. UPIC, RA, ADR, and TPE appeals with all Medicare MACs have become the forefront of Melinda’s impact on the industry. She chairs the NAHC/HHFMA Advisory Board and Work Group, is treasurer of the Home Care Association of Florida board of directors and serves on the Tennessee Association for Home Care board of directors. Melinda is also the author of the Home Health OASIS Guide to OASIS-E and Home Health Billing Answers, 2023.

Registration fee:     Member $159          Non-member $229

This registration is for one login connection only.  Additional connections will be charged accordingly.

There are no cancellations or refunds.

CLICK HERE to register