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Program Overview: Home Health Revenue Cycle 2021 & Beyond  What defines the Revenue Cycle in Home Health? Whether we are trying to get a Medicare claim paid or a Private Insurance claim, Revenue Cycle begins at INTAKE. For those who believe that Revenue Cycle begins with Billing please be the first to register for this webinar. This webinar will review best practices from Intake through the billing/claims processing cycle to aide you in determining that you have all things in place to adequately be able to collect payment for all payers. Objectives: 1. Outline how agencies will need to consider process changes in their revenue cycle as a result of PDGM 2. Provide a Checklist RAP & Final billing and details of both 3. Outline potential strategies for process revisions and adjustments to achieve a successful revenue cycle transition under PDGM 4. Outline billing process changes required by PDGM Presenter: Melinda Gaboury, is co-founder and Chief Executive Officer of Healthcare Provider Solutions, Inc., an organization out of Nashville, TN that provides financial, reimbursement, clinical and operation services to the home health and hospice industries.  With more than 27 years of experience in Medicare Home Health, she is a presenter at both the state and national levels, and is interviewed frequently for national home health publications.  Ms. Gaboury is also the author of "Home Health Guide to OASIS D: A Reference for Field Staff."  Ms. Gaboury has no conflict of interest in regard to this program.
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THIS WILL BE A VIRTUAL EDUCATION EVENT Description: The purpose of this virtual workshop is to give attendees an up-to-date overview of the operations of a Medicare/Medicaid certified hospice.  The participants will gain knowledge of the Conditions of Participation (CoP), describe Medicare certification and licensure, define hospice core services, levels of care, plans of care, notice of election, revocation, discharge and transfer.  A brief overview of the billing process for Medicare and Medicaid and the basic elements of cost reporting will also be provided. Who Should Attend: This program is developed for newly certified hospice staff including administration and clinical; new staff of an existing hospice; social workers, and private duty hospice administrators considering becoming Medicare certified. This virtual workshop will address:
  • Coverage and services available under the Hospice Medicare Benefit
  • Conditions of Participation specific to the Hospice Medicare Benefit
  • Coordination of care requirements for the hospice patient in a nursing facility
  • Medicare’s billing and reimbursement processes for hospice care
  • Hospice program differences between Medicare and Ohio Medicaid
  • Strategies for managing hospice patients under a PASSPORT/Waiver service plan
  • Operational processes important to hospice care and program management
  • Available resources related to hospice care delivery and program management
Presenter: Kathy Royer, RN, MBA, DMin, CHPN, CHPCA is the hospice regulatory director for the Ohio Council for Home Care and Hospice.  She is a registered nurse with more than 23 years of experience in hospice.  She served as a corporate division director with a demonstrated history of improvement in quality scores.  She has expertise in hospice and hospital environments.  Kathy is skilled in corporate leadership development, operations management, regulatory consultation, coaching, Palliative Care, team building, and as a cultural change agent. Registration Fee: OCHCH Members - $149 (Per Person)   NEW!!     $249 - Unlimited Attendee Pass (One price for unlimited staff to attend) Non-Members - $249 (Per Person) NEW!!     $349 - Unlimited Attendee Pass (One price for unlimited staff to attend) Printable Registration Flyer - CLICK HERE!!
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Program Overview: Challenging PDGM Coding Scenarios Two of the five PDGM categories are directly linked to coding: Clinical Grouping and Comorbidity Adjustment. PDGM requires Home Health Agencies to ensure that a patient is appropriate to be admitted to Home Health by having an acceptable primary diagnosis. What happens when the only diagnosis you have from the physician is an unaccepted diagnosis? What if the clinical record doesn’t align with the primary diagnosis? What about comorbidities? During this session, through case study analyses, we will explore some of the issues that can arise with ICD-10 CM coding under PDGM. We will discuss action plans agencies can implement to manage these challenging coding issues. Presenter: Sharon Litwin - Healthcare Provider Solutions, Inc.
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