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A
Crash Course in Medicare Service Delivery . .
Medicare has
changed and it’s still changing — so must your agency.
In two stimulating, information-packed days, you’ll …
find out how to make sense of the veritable alphabet soup surrounding
homecare, including the OASIS™, the HHRG, the PPS …
acquire the skills necessary to see that your agency complies with
today’s requirements … find out about the importance
of documentation in preventing denials and survey citations, and
… learn how to prevent mistakes that can cost your agency
thousands of dollars and trigger government investigations.
- Find out
about your responsibilities for care of patients in the Prospective
Payment System (PPS).
- Discover
simple strategies that can ensure success in the face of
Medicare scrutiny.
- Replace misconceptions,
myths, and old facts with current, correct,
and concise information.
- Figure out
how to provide care to patients and comply with regulations,
all at the same time.
You’ll
be taught by Diane Omdahl and Carolyn Powell, two extraordinary
instructors who combine home health management experience with in-depth
knowledge of the Medicare rules and an engaging presentation style.
Together, they will strip away the myths and confusion and give
you a common-sense approach to meeting certification and payment
requirements. Their many years of firsthand homecare experience
assure you of real-world guidance — that’s both practical
and precise.
Remember that
this is a course, not a conference. You
won’t hear a multitude of speakers with diverse, irreconcilable
approaches. Diane and Carolyn deliver a consistent, proven approach
to Medicare home health — one that you can take home and use
with confidence in your agency.
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AGENDA |
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DAY
ONE:
MEDICARE REQUIREMENTS
8:00 AM — 3:50 PM
Registration & Continental Breakfast
Medicare
Coverage Criteria
• Overview of denials
• Homebound
• Skilled nursing services:
• Observation and assessment
• Skilled procedures
• Teaching
Break
•
Part-time or intermittent criteria
• Daily skilled nursing visits
• Therapy services
• Home health aide services
Luncheon
PPS
Billing Issues
• Overview of consolidated billing
• Supplies
• Outpatient therapy
Break
Certification
Issues in the PPS
• Start of care
• SCIC / major change
• M0825, therapy need
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DAY
TWO:
OASIS & DOCUMENTATION
8:00 AM — 3:50 PM
Registration & Continental Breakfast
OASIS
• All about the comprehensive assessment:
• The rule of OASIS and other data
elements
• Times, types of assessments
• Patient-specific requirements
Break
•
Focus on the HHRG data elements:
• Wounds, functional status
• Impact of M0175
• Tips to prevent downcoding
Luncheon
Diagnosis
Coding
• V codes, E codes, and more
• M0230, M0240, and M0245
Break
Documentation
• Strategies for homecare documentation
• Ranges, PRNs, and verbal orders
• Plan of care (CMS 485)
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