This course to highlights introduction to the new OASIS E questions which are effective January 1, 2023. CMS has released new info on the latest questions that will affect your bottom line under PDGM. Medicare will implement Home Health Value-Based Purchasing also effective January 1, 2023 with 2019 currently set as the base year form Quality Improvements. Agencies will have their payments increase or decrease as much as 5% in 2025 based on quality improvement performance when compared to home health agencies nationally. Learn the keys to success under PDGM and understanding these important new changes for home care.

This course is designed to bring you up to date and offer practical knowledge needed to adapt to changing industry demands. Come away with knowledge of how to keep it simple and getting it right THE FIRST TIME.

Documentation continues to be the number one risk area in home health operations regarding retaining reimbursements from Federal, State and Commercial Insurance payers and in determining STAR Ratings.

Being ahead of the crowd and understanding the role YOUR documentation plays is even more critical futuristically.  Defensible Home Care documentation is the key to survival with Targeted Probe and Educate (TPE) audits or any ADR’s, accurate functional scoring, star ratings and ultimate PDGM success. Learn the importance of the comprehensive assessment to support the POC and OASIS responses and be prepared for survey by adherence to the CoP’s. Learn practical steps to improved documentation!

Topics Include:

• Understanding PDGM for clinical staff
• OASIS D1 – Get the functional RIGHT!
• Upcoming OASIS changes
• Chapter 7 – Home Health Medicare Benefit Policy Manual-Keys to support homebound and medical necessity
• How to be prepared for Medical Review (TPE, RCD, UPIC, etc.)
• STAR Ratings – What they are all about

This seminar offers education and strategy to provide agency owners, administrators, business managers and billing staffs with practical information to equip your agency to collect and retain reimbursements due from all payer sources. The continuing shift in the industry to tie payments to quality services hits home in 2023 with the nationwide implementation of Home Health Value Based Purchasing. National Medicare enrollment continues to move toward enrollees choosing Medicare Advantage Commercial Insurers while the Medicare Fee- For Service enrollment continues to diminish as a percentage of total. Our experienced industry experts will provide valuable practical insight that will be beneficial and enlightening to newly certified or long-standing home health provider administration and staff members.

Topics include:

• Latest Home Health Regulatory Updates
• Home Health Billing Specific Updates – Medicare
• Home Health Billing Recommendations for Medicare Advantage / Commercial Payers
• Part B Billing Opportunities relative to home health agencies
• Navigating Medicare Secondary Payer Billing
• CMS Medical Review Updates