We’re co-sponsoring the Additional Document Request Workshop for the California Association for Health Services at Home Wednesday, October 16 in Sacramento, CA and Friday, October 18, 2019 in Ontario, CA. The events are taking place at the Cal Expo Sacramento Marriott located at 1782 Tribue Road, Sacramento, CA 95815 and the DoubleTree by Hilton located at 222 N. Vineyard Ave., Ontario, CA 91764 respectively.
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The workshop will begin with a general overview of Additional Document Requests (ADRs) by expert faculty Annette Lee, who worked for over a decade with a MAC in medical review and education. This session will review the different types of audits and the processes followed by Medical Review, CERT, and RACs. Attendees will gain a better understanding of the medical review process, Medicare’s Additional Development Request, and Progressive Correction Action processes. Additionally, Ms. Lee will discuss the appeals process and documentation that would support the medical necessity for both home health and hospice.
HOME HEALTH BREAKOUT
This Home Health breakout session features NGS Home Health Clinical Consultant, Lauri Domingo RN, who will be reviewing tips on responding to an ADR, the top medical review denials, and tips on avoiding those denials. This session will also cover Documentation of all five eligibility requirements to include the Face-to-Face Encounter, the Plan of Care, Homebound Status and the Need for Skilled Services.
HOME HEALTH PROGRAM TOPICS:
Would your documentation pass a Medicare audit? Does your documentation support the services you are billing to Medicare? With increasing regulatory requirements and scrutiny of documentation to ensure services billed to Medicare are reasonably and medically necessary and meet the statutory requirements it is imperative that providers understand the requirements and the documentation required to support Medicare coverage.
Come hear firsthand from your Medicare Administrative Contractor Provider Outreach and Education Consultant about how to strategize to survive a medical review audit. Corrinne Ball has fifteen years of experience with Medicare documentation, and she will be providing firsthand knowledge about the Targeted Probe and Educate process, responding to a hospice ADR, and documentation requirements. During this session we will examine the targeted probe and educate (TPE) process, data that drives medical review audits and top medical review denials. This session is designed to give providers the tools, and information to design and implement a strategy to be successful during a medical review audit.
HOSPICE PROGRAM TOPICS:
Wednesday, October 16, 2019 – Cal Expo Sacramento Marriott – 1782 Tribute Road, Sacramento, CA 95815
Friday, October 18, 2019 – DoubleTree by Hilton – 222 N. Vineyard Ave., Ontario, CA 91764