This comprehensive seminar will help you manage Medicare’s biggest challenges, demonstrate compliance, and retain more of the payment you’ve earned—sure to pay dividends for years to come.

• Acquire a set of Medicare skills that will help you guide behavior in your agency with confidence.
  
• Discover what clinicians need to know about the Revised PPS.
  
• Learn techniques for demonstrating that services are skilled, reasonable, and necessary.
  
• Bulletproof your documentation and use it to support your case.
  

Ideal for homecare administrators and directors, clinical managers and educators, financial managers, quality improvement leaders, and homecare nurses and therapists.

What You will Learn

• Clarify the “Supply HHRG,” HIPPS codes, and documentation and reporting of supplies.
• Learn techniques to demonstrate that services are skilled, reasonable, and necessary.
• Develop a game plan for OASIS-C and best practices. Strengthen your knowledge and use of the HHRG.
• Know the role of OASIS data elements in the HHRG.
• Gain strategies to enhance the clinician’s role in diagnosis coding and M0230, M0240, and M0246.
• Discover how fraud in south Florida can hurt your agency.
• Get the straight facts about physician signatures and orders.
• Fine-tune your knowledge of the Medicare PPS case-mix model.
• Bullet proof documentation.
• Discover tips for completing the plan of care to avoid denials.
• Replace the myths about the PPS’ impact on documentation and diagnosis coding with facts.
• Recognize red flags that could jeopardize payment and compliance. Learn what can go wrong in the PPS and adopt strategies for preventing problems.

Learning Objectives

Day One: Documentation and OASIS

• Name the four components of homebound status.
• Identify two skilled nursing services covered by Medicare.
• Explain two fundamental OASIS concepts.
• Describe three points about completion of the plan of care.

Day Two: Diagnosis Coding

• Define pertinent diagnosis.
• Identify the two types of codes used for reporting pressure ulcers.
• Explain two tips for reporting V codes.
• Describe one point about completing M0246, case-mix diagnoses.

HCPro, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center Commission on Accreditation.

This educational activity for 8.75 nursing contact hours is provided by HCPro, Inc.