Webinar – Wednesday, February 7, 2018
8:30 am to 10:00 am pst – Webinar Recording Available
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.
Registration Fee: Member rate is $130.00 - Non-members $199.00. Indicate if you will be calling into the live webinar or purchasing the audio recording (fee is the same). The live webinar includes the opportunity to ask questions of the presenters. If you desire to purchase both the live webinar and the audio recording, pay the registration fee and an additional $30.
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.
Please note our cancellation policy: If you cancel your registration prior to five business days before the program, you will receive a refund less 25% for administrative costs. All cancellations must be made in writing. No refunds for cancellations or exchanges within five business days of the program. If due to unforeseen circumstances we must cancel this event, registrants will receive a full refund.
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).