Presented by Michael Tidd
Thursday, August 13, 2020
ADRs: Must-Know Techniques to Protect Your Agency (and Prepare for RCD!)
On March 30, 2020, CMS granted authorization for agencies required to participate in the Review Choice Demonstration to pause the submission of documentation to support an affirmation decision. Some agencies took advantage of this pause in submitting the Pre-Claim Review for the affirmation process. Agencies who accepted this CMS leniency really just volunteered for 100% ADRs for claims that bypassed the affirmation process.
Understand the Post Claim ADR process
Verbalize the documents required for an RCD ADR
Discuss methods of preparing for an RCD ADR
Understand the risk an RCD ADR possesses to the agency
Michael Tidd has over 19 years of experience in the Home Care Industry and is a frequent speaker at HealthCare Synergy Workshops and Webinars. He is a Software Developer, LVN and Certified in ICD-9/10 Coding and OASIS (COS-C, HCS-D). As the Clinical Manager for HealthCare Synergy, he directs the Outsourced Management Services, assists in directing the development of the Healthcare Assistant Web Edition, oversees the Clinical Documentation Auditing provided to clients and directs the Clinical Form Development for the Healthcare Assistant Web Edition. Michael continues to educate agencies in the ongoing regulations that CMS produces, the proper application of the Medicare Conditions of Participation and completing timely, accurate and defendable clinical documentation to survive in the current Medicare Reimbursement Model.