Presented by Michael Tidd
Thursday, May 28, 2020
Understanding PDGM Billing and Revenue
Billing under PPS has changed and agencies continue to have questions about the proper techniques, LUPAs, 30 day claims and how to transition from one claim to another. Agencies have questions on the most appropriate actions to take when patients are transferred.
Verbalize the decisions to consider when transferring a patient to develop the most appropriate action
Understand the LUPA ranges for each of the case mix combinations
Discuss the actions needed to undertake in order to be prepared for each 30 day claim
Understand the process of changing diagnosis codes for 30 day claims
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.