Case-Mix in 2017 in Home Health: Understand How Changes Affect Reimbursement -
Thursday, January 19, 2017
Joan L. Usher, BS, RHIA, ACE, AHIMA-Approved ICD-10-CM Trainer
Level of Program
CMS’ PPS Final Rule for home health has changed many of the point values for the HHRG case-mix items. Learn which diagnoses capture additional points and which lost points for 2017.
Join expert speaker Joan L. Usher, BS, RHIA, ACE, AHIMA-Approved ICD-10-CM/PCS Trainer as she guides participants to improve efficiency and quality in order to achieve accurate and timely payments. Usher will compare reimbursement for cases in 2017 and 2016, help identify changes to the 18 M questions, as well as describe the diagnoses that are affected.
At the conclusion of this program, participants will be able to:
- Describe which diagnoses are affected by case mix changes
- Identify the changes to the 17 M OASIS questions that affect reimbursement
- Compare reimbursement for same cases(s) in 2017 and 2016 after rebasing of points
Who Should Listen?
- Clinical Directors
- QAPI Staff
- OASIS Reviewers
- Discuss the 33 variables that increased, the 33 that decreased, and 47 that stayed the same, as well as the six new variables
- Review the four equation model for CY 2017 (119 point giving variables)
- CY 2016: 124 variables
- Show comparisons between 2016 and 2017 for diagnostic categories in which no points or decreased points are now given:
- GI; Stroke& dressing or ambulation,
- High therapy categories with CA, diabetes, blood disorders
- Test Your Knowledge examples
- Show comparisons between 2016 and 2017 for diagnostic categories where points are ADDED/NEW:
- Heart; HTN; Pulmonary; Skin1
- Test Your Knowledge examples
- Show changes to M Questions in OASIS:
- M1200 vision; M2030 Injectable meds: zero points, no change
- M1400 DOE: no points given
- M1830 Bathing and M1860 Ambulation: increased points
- Q&A (not live)
(Live + On Demand) - Attendance for the entire webinar, sponsored by HCPro, is required to earn the continuing education unit. Upon the completion of the webinar, attendees will receive 1 HCS-D CEU from the Board of Medical Specialty Coding and Compliance. (Ability to claim CEU for this webcast expire on: 1/18/2018)
Meet the Speaker
Joan L. Usher, BS, RHIA, ACE, is the president of JLU Health Record Systems in Pembroke, Massachusetts. Usher is a nationally recognized expert in the field of coding and health information management. Her career began at a visiting nurse association, and she has been consulting for more than 25 years. Usher has been a certified OASIS specialist in the clinical realm for over nine years and co-authored “The How-To Guide to Home Health Billing” and “ICD-10 Coding for Home Health: A Guide to Medical Necessity and Payment”. She works with home health agencies and hospices on ADR, denials, and appeals. Usher has presented materials on home health documentation, denials, and appeals for the Home Care Alliance of Massachusetts and other New England homecare associations.
Webinar system requirements and program materials:
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:
Internet: 56K or faster Internet connection (high-speed connection recommended)
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices
Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location.
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Participation in the webinar is just $199 per site. All materials must be retrieved from the Internet.
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