3-Part Webinar Series

Compliance that Connects: A Roadmap to Readiness, Reimbursement, and Results in Home Health

This three-part webinar series is designed to equip home health leaders with the knowledge and tools to strengthen compliance, protect reimbursement, and drive performance. From mastering the Conditions of Participation and preparing for surveys, to defending documentation during medical review, each session builds on the last. The final session ties it all together—demonstrating how a strong QAPI program transforms regulatory requirements into meaningful action, ensuring sustained compliance, improved outcomes, and a culture of accountability.

Part 2/3 – Documentation that Defends: Navigating Conditions of Payment & Medical Review with Confidence

This webinar dives into the critical connection between documentation, Medicare payment requirements, and the medical review process. Participants will gain clarity on what is required to establish eligibility and support payment for skilled services, particularly during audits and reviews. We’ll explore common documentation pitfalls, how to address them, and practical ways to ensure clinicians and QA teams are capturing the right information—accurately and defensibly.

Objectives:

• Define the Conditions of Payment and their impact on Medicare reimbursement.
• Understand the triggers and types of medical review (e.g., ADRs, SMRC, UPIC).
• Analyze common reasons for claim denials and how to proactively address them.
• Identify documentation elements needed to support skilled service eligibility.
• Strengthen clinician and QA staff practices to improve documentation defensibility.

Your Speaker:

Natalie Venable is an experienced healthcare professional with a background in occupational therapy and over a decade of leadership in home health and hospice. Her work has spanned clinical care, quality improvement, and regulatory oversight, including serving as Director of Clinical Excellence for a large, national home health organization. In that role, she led quality teams and initiatives across 250+ branches, supported regulatory compliance, and advanced clinical performance at scale.

Natalie holds certifications as a Lean Healthcare Professional, COS-C, and is a licensed Occupational Therapist. In addition, she is a CHAP Certified Consultant and Medbridge Instructor. She’s recognized for her depth of knowledge in home health and hospice standards, as well as her ability to translate regulatory requirements into practical, sustainable workflows for care delivery teams. Her collaborative approach is grounded in real-world challenges and designed to help providers sustain compliance while improving clinical outcomes.

As the founder and lead consultant of Thrive Healthcare Solutions, Natalie helps organizations strengthen key operational areas, including:

• Clinical documentation accuracy and defensibility
• Survey preparation
• Quality Assurance and Performance Improvement (QAPI) programs
• Eligibility and medical review training and support
• Interdisciplinary team development and staff education
• Patient and caregiver experience initiatives
• Data-driven quality reporting and benchmarking, including HHVBP
• Strategic quality initiatives to drive optimal reimbursement