Understand Case-Mix Changes for Accurate Reimbursement - On-Demand

Available ON-DEMAND

Presented on: Thursday, January 13, 2022 

Presented by: Brandi Whitemyer, RN, CDIP, COS-C, HCS-D, HCS-O

As of January 1, the rules around how you get paid under PDGM have changed. Understanding these changes can help you target coding and OASIS training to ensure continued accuracy and rightful payments in the new year.

CMS finalized changes to case-mix methodology in the final 2022 home health payment rule. Changes include updates to the subgroup interactions that could result in a high comorbidity adjustment, the addition of subgroups that could lead to low comorbidity adjustments, and changes to functional impairment levels.

In this 60-minute webinar, coding and billing expert Brandi Whitemyer will give an in-depth review of these changes, including the 56 new subgroup interactions that could lead to a high comorbidity adjustment.

At the conclusion of this program, participants will be able to:

• Explain how case-mix methodology has changed in 2022
• Identify which subgroups now qualify for high and low comorbidity adjustments
• Describe how functional impairment scores contribute to determining case-mix points

Agenda

• CMS changes to case-mix methodology in 2022
• How coding and OASIS impact payments in 2022
• The biggest drivers of high vs. low comorbidity adjustments and where to find the lists
• The changes to high and low comorbidity adjustments
• How the functional impairment scores were updated
• Q&A

Who Should Listen?

• Owners and administrators
• Compliance officers
• Agency coders
• Outsource coders
• Coding managers
• Clinical supervisors
• Directors of nursing
• Quality improvement/quality assurance managers
• Compliance officers

Meet the Speaker

Brandi Whitemyer, RN, CDIP, COS-C, HCS-D, HCS-O, has expertise in ICD-10 coding, post-acute billing, and coding education, along with OASIS and outcomes management. She has more than 18 years of experience in post-acute healthcare as the previous owner of a full-service coding and consulting company, along with experience in the development of coding, billing/revenue cycle, and clinical education resources for post-acute care. Whitemyer has worked for the past 11 years as a consultant and home health and hospice coding expert, providing agencies nationally with survey compliance; medical reviews and appeals of Medicare denials; corrective action plans; policy development; revenue cycle and billing compliance management; coding and quality assurance processes; and coding and OASIS education. Whitemyer is a member of the American Health Information Management Association (AHIMA) and the Association of Home Care Coding & Compliance (AHCC).

Continuing Education

BMSC
This program is approved by the Board of Medical Specialty Coding & Compliance (BMSC) for 1 CEU(s).

Ability to claim credits for this webinar expires on: 1/13/2023

Instructions

Webinar system requirements and program materials: 
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:

Browser: Microsoft Internet Explorer or Edge, Firefox, Chrome, or Safari, with JavaScript enabled 
Internet: Internet connection (high-speed connection recommended) 
Streaming: Access audio/video streaming from any browser on a computer, mobile, or tablet device

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. 

CAN'T LISTEN LIVE? 
No problem. The On-Demand version will be 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 $242 value! 

PLEASE NOTE 
Participation in the webinar is just $242 per site. All materials must be retrieved from the Internet.

Call your customer service representative toll-free 800-650-6787 or email customerservice@hcpro.com if you have questions.