In the Midst of PDGM Implementation, Don’t Lose Sight of Compliance - On-Demand

Bookmark and Share

In the Midst of PDGM Implementation, Don’t Lose Sight of Compliance - On-Demand

Product Code: YPADA020520A

Availability: In stock

Your Price:
Add Items to Cart

In the Midst of PDGM Implementation, Don’t Lose Sight of Compliance - On-Demand

loyal listener library

Available ON-DEMAND

Presented on: 
Wednesday, February 5, 2020 

Presented by: Robert Markette Jr. attorney, CHC, HCS-C

Are you prepared to defend your agency’s decisions when it comes to admission source and timing under the Patient-Driven Groupings Model? CMS will expect agencies to have the required information and to be able to defend why they indicated on the claim that an episode was early or late, institutional or community. CMS will have claims data from other settings to compare and contrast against home health claims, and CMS likely won’t give agencies the benefit of the doubt.

To ensure compliance, your agency needs to take steps at intake to identify admission source and timing. Plus, compressing to a 30-day billing cycle will put added burden on billing staff. Verifying claims and getting them out the door timely will impact both compliance and cash-flow.

During this 60-minute webinar, home health attorney Robert Markette will explain the finer points of compliance when it comes to these issues as well as what agencies need to do to ensure they remain compliant and avoid unnecessary scrutiny.

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

  • Demonstrate an understanding of early and late admissions
  • Implement a process to generate claims in a timely manner due to the decrease in RAPS for agencies.
  • Explain at least one compliance aspect of PDGM


  • Details about what constitutes an early vs. late admission
  • Overview of intake responsibilities with a focus on compliance
  • Review of information required on the home health claim
  • Outline of potential compliance challenges under the Patient-Driven Groupings Model
  • Processes improvements agencies should make to ensure compliance
  • Practical tips for agencies on how to remain compliant

Who Should Listen?

  • Home health administrators
  • Billers
  • Clinical managers
  • Compliance officers
  • Directors of nursing
  • Quality managers
  • Clinicians

Meet the Speaker

Robert Markette

Robert Markette is an attorney with Hall, Render, Killian, Heath & Lyman. His primary areas of practice are health law, Medicare/Medicaid compliance, fraud and abuse, and employment law and litigation. He is certified in healthcare compliance by the Health Care Compliance Board. Markette assists clients including county health departments, home health agencies, private duty agencies, hospices, and physicians with a wide range of health care compliance and litigation issues.


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 6 or later, Firefox, Chrome, or Safari, with JavaScript enabled 
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. 

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 $249 value! 

Participation in the webinar is just $249 per site. All materials must be retrieved from the Internet. 

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