Improving Documentation to Support Hospice Claims

HEALTHCARE Aug 01, 2017 60 minutes
01:00 PM EST 12:00 PM CST 11:00 AM MST 10:00 AM PST

Description:-

During the last 3-5 years, Hospice has been the support of the Medicare Administrative Contractors. More hospice companies lose a lot of dollars because of claims that were denied in the ADR procedure. The hospice business is not familiar with this kind of appraisal of the claim. Zone Program Integrity Contractors are not with standing getting more into the round of checking on the hospice claim with expanding occasions of mass refusals because of a basic shortage of quality documentation and assessment of the clinical record. This course will talk about a few of the top hospice detail reasons and approaches to avoid this in your agency with guaranteed documentation.

Background of the topic:

In spite of the fact that the documentation has not altered much in hospice, the assessment by the MAC's has changed a considerable amount. This is a lesson on backpedaling to the rudiments of hospice documentation.

Why should you attend?

  • Documentation is the fundamental reason for shielding the hospice claim, yet such a variety of hospice organizations are going under expanded examination for not indicating enough drop in the medical record.
  • Hospices are utilizing all the wrong terms and INCONSISTENCIES implies dollars lost by the agency.

Areas Covered in the Session:

  • Discuss the main 5 denials across the MAC's 
  • Review the "back to basics" documentation models for admitting and recertifying hospice patients
  • Define approaches to analyze your chart so as to get any potential dangers in the documentation
  • List the great, better, and most ideal approaches to document against the terminal diagnosis.

Who will benefit:

  • Field staff
  • Administrators
  • Quality Assurance Managers
  • Clinical Managers
Presenter BIO

Heather has been in the home care industry for the past 25 years.She received her Bachelors Degree in Nursing from the University of Alabama in Birmingham in 1992. She has extensive field and case management experience in both home health and hospice. Heather has held various positions in home health and hospice agencies to include supervisor, performance improvement coordinator, staff development director, and appeals auditor. She has a vast knowledge of state and federal regulatory guidelines. Heather has also written many policies and procedures to include standardized nursing procedures for submission to the nursing board. Performance improvement activities, auditing, and development of state actions plans are also an area of expertise for Heather. She has taken a lead role in the preparation of home health and hospice agencies for accreditation by the state and also CHAP and ACHC. Although, education remains Heather’s passion in this rapidly changing home health and hospice industry. Heather holds certifications in OASIS competency, COS-C and as a Homecare Coding Specialist-Diagnosis and Hospice, HCS-D & HCS-H. She is a CHAP trained consultant and has also authored a book on medical necessity for home health. Heather currently works as a Director of Special Projects and Appeals for Home Health Solutions, LLC. She enjoys spending time with the family is an avid football fan and enjoys playing and coaching softball.

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