On-Demand Workshop Recordings

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  • Additional Document Requests (ADRs) Hospice

    1 Day Virtual Workshop - 14 Day Subscription (5.5 CEUs)


    GENERAL SESSION
    This session will review the different types of audits and the processes followed by Medical Review, CERT, and RACs. Attendees will gain a better understanding of the medical review process, Medicare‘s Additional Development Request, and Progressive Correction Action processes. Additionally, Ms. Lee will discuss the appeals process and documentation that would support the medical necessity for both home health and hospice.

    HOSPICE BREAKOUT OVERVIEW
    During this session, you will examine the latest information and data that drives medical review audits, top medical review denials and how to avoid them, as well as the new hospice beneficiary election statement addendum. This session is designed to give providers the tools, and information to design and implement a strategy to be successful during a medical review audit.

    Learning Objectives:

    1. Gain an understanding of current auditing processes.
    2. Identify top denial reasons for medically reviewed hospice Medicare claims.
    3. Develop an understanding of how documentation plays a key role in supporting terminal prognosis.
    4. Gain an understanding of the documentation requirements to support services billed for Hospice.
    5. Understand the goal and purpose of the election statement addendum.
     

  • Additional Document Requests (ADRs) Home Health

    1 Day Virtual Workshop - 14 Day Subscription (5.5 CEUs)


    GENERAL SESSION
    This session will review the different types of audits and the processes followed by Medical Review, CERT, and RACs. Attendees will gain a better understanding of the medical review process, Medicare’s Additional Development Request, and Progressive Correction Action processes. Additionally, the appeals process and documentation that would support the medical necessity for both home health and hospice will be discussed.

    HOME HEALTH BREAKOUT OVERVIEW
    This session will also cover Documentation of all five eligibility requirements to include the Face-to-Face Encounter, the Plan of Care, Homebound Status and the Need for Skilled Services. The permanent changes to the physician and non-physician practitioner (NPP) roles in Medicare home health will also be discussed in detail.

    Learning Objectives:

    1. Discuss current home health auditing processes.
    2. Identify top denial reasons for Home Health Medicare claims.
    3. Develop an understanding of the permanent changes to the role of the physician and NPP in home health.
    4. Overview of all five certification requirements.
    5. Up to date references and Resources for 2020 Medicare Home Health Regulations.
     

  • Patient-Driven Groupings Model

    1 Day Virtual Workshop - 14 Day Subscription (5.5 CEUs)


    January 2021 brings even more changes with the NO Pay RAP situation. Agencies must develop and implement plans to continue to succeed under PDGM. This workshop will discuss key areas, strategies and processes in preparing an agency for PDGM changes that will continue in 2021. This workshop will have a focus on best episode management and process improvement practices including the referral, intake and scheduling processes, timely documentation, physician and patient communication strategies, all of which are required to more tightly manage care within the shorter 30-day payment period. The change to a 30-day payment model will brought significant back office changes, specific to the claims processing and collections, which will be one emphasis of this workshop. A strong clinical episode management program is critical to ensure sustained, efficient, cost-effective and uncompromised quality care delivery under the PDGM program! Lastly, this workshop will review the full-blown emphasis of ICD-10 coding under PDGM and how agencies will have to monitor to ensure the specificity of coding for their patient care plans.
     

    Learning Objectives:

    1. Summarize key Revenue Cycle Operations affected by PDGM changes.
    2. Present data to assist in determining financial impacts of PDGM on an agency.
    3. Review the complexity of determining LUPA thresholds under PDGM.
    4. Review the Impact of ICD-10 coding under PDGM.

  • Medicare Hospice Reimbursement

    1 Day Virtual Workshop - 14 Day Subscription (5.5 CEUs)


    This workshop will lay a concrete foundation for hospice billers, as well as, any hospice staff that need to more effectively understand the Medicare regulations. This workshop will include Medicare verifications with HIQA/HETS screen examples, field by field on Notice of Election and claim forms and sequential billing requirements.

    The workshop will detail the CMS Targeted Probe & Educate initiative while also reviewing the regulations for face-to-face encounters and pre-claim reviews that should be conducted prior to filing claims. The workshop will conclude with many analyzing the PEPPER information and how hospices can work toward improvement in their scores. If you are play any part in the responsibility of reimbursement in your hospice this workshop is a must.

    Learning Objectives:

    1. List the basic eligibility requirements for initiating Hospice and Billing to Medicare.
    2. Detail criteria for line item billing Hospice Notice of Election and Claims to Medicare.
    3. Detail Specific Medicare Regulatory Issues affecting Hospice Reimbursement
    4. List the Target areas for Hospice PEPPER and the use of the data.
     

  • The Art of ICD-10-CM Coding for Home Health

    2 Day Virtual Workshop - 14 Day Subscription (13 CEUs)


    New codes, new tabular list changes, new guidelines and new Coding Clinic interpretations, plus new home health payment changes require us to stay ahead of the game. Increase your knowledge and understanding and gain the expertise your agency needs to survive in this comprehensive two-day intermediate coding course specific for home care coders. Will include the proposed new codes for COVID-19, planned for an implementation date of January 1, 2021.

    Increase your understanding of the regulatory aspects and ethics of diagnosis coding and utilize lots of examples to increase your skills, proficiency, speed and accuracy in choosing the appropriate ICD-10-CM codes.

    With government auditors targeting home care, now is the time to ensure that you are coding correctly and protecting your revenue.

    Learning Objectives:

    1. Apply operational aspects of PDGM.
    2. Apply specific sequencing rules as required by the conventions and Official Coding Guidelines.
    3. Explain coding of diagnoses of infections, neoplasms, endocrine disorders such as diabetes, anemias, mental disorders, and the nervous system.
    4. Explain coding of diagnoses of cardiorespiratory illnesses, cerebrovascular disease, and GI & GU disorders.
    5. Explain coding of diagnoses of the musculoskeletal system, injuries and poisonings, including the optional use of V, W, X and Y codes.
    6. Describe the purpose and appropriate use of Z codes.
    7. Use the coding manual to find codes and sequence diagnoses for home care and hospice scenarios in ICD-10-CM.
    8. Prioritize diagnoses based on clinical assessment and planned interventions.
     

  • The Art of ICD-10-CM Coding for Hospice

    1 Day Virtual Workshop - 14 Day Subscription (6.5 CEUs)


    This one-day training provides a dynamic program for hospice coding training in ICD-10-CM with the latest updates on coding specifically for hospice agencies. Will include the proposed new codes for COVID-19, planned for an implementation date of January 1, 2021.

    Start with an introduction to the ICD-10-CM code set, coding conventions, sequencing tips and chapter specific guidelines that cover all the chapters applicable to hospice patients. We will have plenty of practice accessing the index and locating codes, identifying tabular list instructions, and then on to coding hospice scenarios with common (and some not-so-common!) hospice diagnoses and conditions. We will also focus on the documentation needed to choose the most specific codes to describe the terminal illness and related diagnoses.

    Learning Objectives:

    1. Prioritize diagnoses based on clinical assessment and planned interventions and explain hospice specific issues with coding.
    2. Apply specific sequencing rules as required by the conventions and Official Coding Guidelines.
    3. Explain coding of diagnoses of infections, neoplasms, endocrine disorders such as diabetes, anemias, mental disorders, and the nervous system.
    4. Explain coding of diagnoses of cardiorespiratory illnesses, cerebrovascular disease and GI & GU disorders.
    5. Explain coding of diagnoses of the musculoskeletal system, injuries and poisonings, including the optional use of V, W, X and Y codes.
    6. Use the coding manual to find codes and sequence diagnoses for hospice scenarios in ICD-10-CM.
     

 




Benefits of On-Demand


On Demand Training increases engagement significantly, as employees are able to take control of their own learning. They can learn at a pace that suits them, easily connect with Subject Matter Experts, access learning materials any time and place, and immediately put their learning into practice.

On-Demand Workshop Access


After workshop registration and payment has been submitted and received by CAHSAH, you will receive a confirmation email. Please follow the confirmation email instructions in order to receive access to your webinar recording. Handouts will be available to download along with the recording within 48 hours from your email confirmation response.

1 DAY ON-DEMAND
WORKSHOP RATES

Member: $290.00
Non-Member: $390.00


2 DAY ON-DEMAND
WORKSHOP RATES

Member: $480.00
Non-Member: $680.00

 


 
Questions / To Learn More
Contact Monica Chapman at (916) 262-6800






 

 

 

 


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