Hospice Additional Document Requests (ADR) - Virtual

GENERAL SESSION OVERVIEW

The workshop will begin with a breakout session by National Government Services (NGS) and follow with a general overview of Additional Document Requests (ADRs) by expert faculty Annette Lee, who worked for over a decade with a MAC in medical review and education. This session will review the different types of audits and the processes followed by Medical Review, CERT, SMRCs and RACs. Attendees will gain a better understanding of the medical review process, Medicare’s Additional Development Request, and documentation processes. Additionally, after the NGS breakout session, Ms. Lee will discuss the appeals process and provide examples of documentation that would support the medical necessity for both home health and hospice.  The breakout sessions will provide the additional details!

BREAKOUT SESSION OVERVIEW 

National Government Services (NGS) Medicare Hospice Update. Documenting Care: A Roadmap for Medicare-Certified Hospice Agencies

The purpose of this session is to enable attendees to keep up to date of recent changes to the Medicare Federal Hospice regulations and gain the knowledge and resources necessary to enhance documentation practices within their organization. We will identify current updates from the medical review department, with a review of current medical review audits, how to avoid Medicare claim denials, and provide the most current references and resources as well as NGS contact information and self-service tools to assist and support hospice providers regarding Medicare Regulations. 

Objectives:

•          Provide a detailed understanding of relevant changes to the federal Medicare Hospice Regulations

•          Review updates regarding Medical Review TPE audits in hospice and offer hospice providers resources and tools to assist in avoiding documentation errors.

•          Offer up to date references and resources to assist the provider in their day-to-day Medicare workload and answer content specific questions.  

FACULTY

Annette Lee, RN, MS, HCS-D, COS-C

CEO
Provider Insights, Inc.

Annette is a registered nurse, with a Master’s in Health Care Administration, practicing since 1990, with the majority of her nursing experience in home health. For over a decade she worked with the CMS Medicare Administrative Contractor (MAC) where she provided review of, and education on home health and hospice documentation. Annette then began providing outreach and provider education regarding Medicare reimbursement issues and effective documentation strategies, assisting providers with ADRs and appeals. Today she marries together her experience in the “real world” and the inside knowledge of Medicare to ensure providers can meet the requirements of CMS, and ensure compliant, efficient operations. She presents nationally on the Conditions of Participation, (COPs), OASIS, PDGM, HIS, LCDs, and documentation and coverage for both the home health and hospice benefits. Annette holds both the Certificate for OASIS Specialist-Clinical and the Home Care Coding Specialist-Diagnosis certification.

Erin Musumeci, RN, Clinical Consultant

National Government Services    

Erin is the clinical educator at National Government Services, focusing on home health and hospice education.  She is a dedicated and skilled RN with a broad range of healthcare experience including acute, post-acute, home health and hospice. Erin spent more than a decade in nursing and has experience as a Quality Improvement Analyst in the acute care setting. Erin worked in both the home health and hospice environments as a case manager in homes, facilities, and infusion suites and has professional experience as a Transitional Care Coordinator. 

CANCELLATIONS

Cancellations are subject to 20% handling fee. There will be NO REFUNDS issued for cancellations received within 10 business days prior to program. Cancellations must be in writing. Refunds will not be made for no-shows. However, substitutions will be allowed. Should CAHSAH® cancel the program, a full registration fee refund will be issued.

CONTINUING EDUCATION UNITS (CEUs)

Provider approved by the California Board of Registered Nursing (Provider #CEP17394) for five (5) contact hours of continuing education. Continuing Education report will be issued to attendees once attendance has been confirmed.