The Kansas Home Care & Hospice Association is pleased to bring you this educational program through an agreement with the Ohio Council for Home Care & Hospice...
Wednesday, February 7, 2018
10:30 am – Noon CST **
** a recording will be available for those unable to participate live
The Centers for Medicare and Medicaid Services (CMS) have the authority to perform pre and post payment medical reviews of hospice Medicare claims. With an ever increasing focus on fraud, abuse and waste, ADRs (Additional Development Requests) have become a harsh reality for all post- acute providers, including Hospice. Prepayment reviews have increased at an alarming rate, resulting in payment delays, payment denials and administrative headaches. This session will help Hospices become proactive and develop strategies to effectively respond to ADRs, in an effort to minimize denials.
Participants will be able to:
- Define the terms Probe Edit, Additional Development Request and Targeted Medical Review
- Identify the difference between technical and medical claim denials.
- List the five (5) levels of appeals, and timelines associated with each level.
- Identify strategies for managing and responding to ADRs.
- Identify practices and scenarios that can potentially trigger an ADR.
Donna Berry has nearly twenty years of experience in Home Healthcare Management at the operational and leadership level. At Richter Healthcare, Donna works directly with Home Health and Hospice clients across the country to offer best practice solutions to operational challenges. She directs a team of specialists who provide the complete revenue cycle process for home health and hospice agencies, small to large.
Yolanda Riley is the Director of Revenue Cycle for Home Health and Hospice at Richter Healthcare Consultants. Ms. Riley has a long tenure in healthcare, including ten years in Home Health and Hospice, having served in a leadership role for acute, post-acute providers and insurance carriers nationwide. At Richter Healthcare, Yolanda is a member of the Richter Consulting Team.
Continuing Education: The presenters and program planners have no conflict of interest in regard to this webinar. RNs and LPNs must participate in the entire presentation in order for contact hours to be awarded. To apply for nursing contact hours, please mail an evaluation form and a $10 processing fee for each individual requesting hours. Additionally, send in a completed sign-in sheet, listing the individuals at your facility that participated and noting those requesting contact hours.
Individuals requesting contact hours will receive a certificate of contact hours earned. Please make sure that you enter the Contact Person’s name in the Registration Form. All correspondence and site registration information will be sent to this person. No commercial support has been provided for this program.Ohio Council for Home Care and Hospice is an approved provider of continuing nursing education by the Ohio Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. (OBN-001-91) (OH -157, 4/1/2019).
Confirmation: A confirmation will be sent via email to verify site registration, as will the handouts, Internet link and 800 number for entering the webinar, and instructions for participation. If your Contact Person does not receive the E-mail confirmation two (2) business days prior to the webinar, please contact our office to verify your status.
Registration Fee per site/phone connection: Registration fees are for one (1) phone connection. SHARING OF REGISTRATION OR FEES WITH OTHER AGENCIES AND/OR INDIVIDUALS IS PROHIBITED. The live webinar includes the opportunity to ask questions of the presenter. Contact hours may be earned for listening to the audio recording up to 6 months following the live webinar. If you desire to purchase both the live webinar and the audio recording, pay the registration fee and an additional $30.
- $149 live webinar connection OR recording
- $298 live webinar connection OR recording
Both the live webinar AND the recording: Registration fee above and an additional $30