Connecting the Dots: From Billing to Payment in Home Health - On-Demand
Presented: Thursday, May 28, 2015
Presented by: Joan L. Usher, BS, RHIA, COS-C, ACE, AHIMA-Approved ICD-10-CM Trainer
In order to ensure proper Medicare reimbursement, home health clinical and billing departments must understand and work together to accommodate each other’s operative needs.
In this 90-minute webcast, home health expert Joan L. Usher, BS, RHIA, COS-C, ACE, AHIMA-Approved ICD-10-CM Trainer, will review what is considered acceptable by Medicare to receive proper payment, common denial areas, and tips for appeals, as well as sort through RACs and mobile medical review. Usher will help you to understand how billing can go wrong in home health—and teach you how to avoid it!
At the conclusion of this program, participants will be able to:
- Identify the connection between clinical and billing and how it relates to documentation and reimbursement
- Recognize quality documentation for claims submission
- Describe current audit types and trends, including RAC, mobile medical review, and appeal levels
I. Review processes and best practices
- Review the process of how clinical and billing interact for maximum cooperation
- Review best practice for submission of ADRs and denial documentation
- Review strategies for face-to-face documentation
II. Examples of proper documentation
- Explain samples of documentation that support billing
- Review good and poor documentation
- Review face-to-face examples and understand what’s unacceptable
III. Review of audits and appeals
- Discussion of common denial areas from recent audit findings
- Review best practice for submitting appeals
Who Should Participate
- Administrators and Directors
- Clinical managers
- Staff educators
- Homecare nurses
Meet the Speaker
Joan L. Usher, BS, RHIA, COS-C, ACE, AHIMA-Approved ICD-10-CM Trainer, is president of JLU Health Record Systems in Pembroke, Massachusetts. Usher has more than 27 years’ experience as a consultant and is a nationally recognized expert in the field of ICD-9 & ICD-10-CM coding and health information management (HIM). She has taught ICD coding in home health for 17 years and has educated more than 15,000 people nationwide. Usher is a past president of the Massachusetts Health Information Management Association. Under her leadership, Massachusetts received four national awards from AHIMA in continuing education programs, support for accredited HIM education, legislative advocacy, and electronic communications.
Usher is one of Beacon Institute’s experts for our Ask-the-Expert membership benefits. She also provides a monthly ICD-10 coding column for our Homecare DIRECTION newsletter and speaks during many of Beacon Health’s successful webcast series. She has contributed to numerous national publications and is the author of HCPro’s ICD-9 Coding for Home Health: A Guide to Medical Necessity and Payment, ICD-10 Coding for Home Health: A Guide to Medical Necessity and Payment, and ICD-10 Essentials for Homecare: Your Guide to Preparation and Implementation.
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.
COULDN'T LISTEN LIVE?
No problem. The On-Demand version is also available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $199 value!
Participation in this webinar is just $199 per site. All materials must be retrieved from the Internet.
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