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Prepare for pre-claim reviews now, prevent future denials

Product Code: YPADA083016D

Quick Overview

Get expert guidance to prepare for pre-claim reviews, prevent denials



CMS is testing a new way to combat fraud that could be devastating to home health agencies. Under the three-year demonstration in five states, agencies will be encouraged to submit to their Medicare Administrative Contractor (MAC) a request for pre-claim review along with relevant documentation to support coverage.

Price: $249.00

Prepare for pre-claim reviews now, prevent future denials

Home Health Line and DecisionHealth® present...

Prepare for pre-claim reviews now, prevent future denials

Recorded • Tuesday, August 30, 2016

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Get expert guidance to prepare for pre-claim reviews, prevent denials

CMS is testing a new way to combat fraud that could be devastating to home health agencies. Under the three-year demonstration in five states, agencies will be encouraged to submit to their Medicare Administrative Contractor (MAC) a request for pre-claim review along with relevant documentation to support coverage.

Agencies within the affected states will have a significant percentage of claims denied, see a payment delay of several weeks and add to the already lengthy backlog of appeals, experts predict. This demonstration is scheduled to begin in Illinois as early as Aug. 1, and beware… other agencies nationwide should pay close attention to this demonstration as well, as it is likely going to be “the future of home health.”

Don’t miss this training opportunity to learn what you need to do to prepare for pre-claim reviews, prevent denials, and protect your bottom line. Don’t put your agency at risk!

Gather your staff and join home health compliance experts Arlene Maxim and Rebecca Zuber, for an in-depth explanation of CMS’ new pre-claim review process, understand what you need to do to prevent denials, and how it will impact your agency’s bottom line. During the session, you will learn how to:

  • Understand CMS’ new expectations for home health agencies in the affected states
  • Get best practices for submitting adequate documentation to prevent denials
  • Collect more complete face-to-face documentation faster to prepare for pre-claim reviews
  • Improve the quality of documentation you submit so you can pass muster with your MAC
  • Educate patients about the new requirement now so as to avoid panic that might ensue when they begin to receive letters stating that their home care services are not covered

Order now to get insights from home health experts on how to prepare for pre-claim reviews to prevent future denials that will impact your bottom line.

YOUR EXPERT PRESENTERS

Arlene Maxim, Consultant and owner, A.D. Maxim Consulting, LLC, Troy, Mich.

Maxim is the founder and owner of A.D. Maxim Consulting, LLC, a home health care consulting firm located in Troy, Mich. She’s been in home care since 1979 and has been a home care consultant since 1986. She has served in various capacities designing and implementing management and educational programs for home care agencies.


Rebecca Zuber, President, Rebecca Friedman Zuber, Inc., Chicago, Ill.

Zuber has almost 20 years of health care and leadership experience. Formerly chief of the Division of Healthcare Facilities and Programs at the Illinois Department of Public Health, she oversaw state and Medicare regulatory programs for home health and hospice agencies. Prior to beginning her company, Rebecca served as regulatory consultant for the Illinois HomeCare & Hospice Council for 18 years; worked with provider organizations; and has published and lectured extensively on regulatory issues in home care.