Continuing Education

Board of Medical Specialty Coding & Compliance (BMSC)
This virtual event has been approved by the Board of Medical Specialty Coding & Compliance for 4 HCS-D, 6 HCS-O, 7 HCS-C CEUs.

Achieving Accurate Payment Home Health Virtual Event - On-Demand

Focus on your rev cycle at DecisionHealth’s Achieving Accurate Payment: Home Health Virtual Event

Join us for an innovative two-day virtual event that focuses on your rev cycle to help you achieve accurate reimbursements under the Patient-Driven Groupings Model (PDGM).

Achieving Accurate Payment: Home Health Virtual Event brings together some of the country’s foremost home health experts to provide practical strategies for survival during the COVID-19 pandemic and the choppy first year of PDGM. Rev cycle professionals, administrators, and executives can’t miss the topics covered. Hear from top industry experts during an agenda packed full of valuable strategies on how to achieve efficient revenue cycle and compliance management.

By attending this event, you’ll have access to the recording for up to 60 days from the time of purchase providing you the opportunity to listen to the programs at your convenience.

After attending this virtual event, participants will be able to:

  • Examine strategies to achieve accurate reimbursement under PDGM
  • Identify strategies to streamline operations
  • Analyze financial dashboards


Educational session recordings will be available to attendees for 60 days from the time of purchase.

Agenda

Day 1

Session 1
Compensation and PDGM: What You Need to Know
Robert W. Markette Jr., JD, CHC, HCS-C
Bob Markette will show you how to structure compensation models to ensure you meet the PDGM parameters for success.

Session 2
ADRs
Annette Lee, RN, MS, COS-C, HCS-D
Annette Lee tackles ADRs in this can’t-miss session.

Session 3
PDGM and Financial Metrics: The Right Coding for the Right Reimbursement
J’non Griffin, RN, MHA, HCS-D, HCS-C, HCS-H, COS-C
Under PDGM, your agency’s success is dependent on coding and OASIS review. To move your agency forward, you must ensure you are coding essential comorbidities, choosing the correct clinical grouping, conducting proper functional scoring, and querying physicians correctly. J’non Griffin will show scenarios that demonstrate how even slight variations in coding can result in big differences.

Session 4
Who Is Auditing Your Claims—And What Are They Looking For?
Sharon Harder
Now that CMS has resurrected post-payment reviews, it’s more important than ever to understand who is looking at your agency’s claims data, what they are looking for, and how they will likely analyze ADR documentation. It’s no secret that different auditors are looking for different things. Medicare contractors are always interested in denying payment, but a denial isn’t the end of the story—it’s only the beginning. Join this session to learn how to understand audit scope limitations, how denials are often unrelated to the conditions of payment, and how to respond in a way that will be more likely to protect reimbursement for services.

Q&A Session
With Bob Markette, Annette Lee, J’non Griffin, and Sharon Harder


Day 2

Session 1
How Operational Efficiencies Can Decrease Your Revenue Cycle Timing
Robert Simione, CPA, and Kimberly Chapman
Year two of PDGM presents many cash flow challenges for home health agencies, especially with the elimination of the RAP payment. It is important for an agency to operate effectively in all areas of the revenue cycle to reduce the cycle time for claims. This session will cover all the critical roles in the revenue cycle process, including intake, quality, clinical operations, orders management, and billing, and discuss how agencies must manage efficiently to avoid cash flow issues.

Session 2
The Intersection of OASIS and PDGM: Finances and Measures
Arlynn Hansell, PT, HCS-D, HCS-H, HCS-O, COS-C
Don’t let your star ratings, HH Compare measures, and reimbursement slide. The OASIS still matters! Learn strategies for capturing the functional impairment level items and other key components of the OASIS to retain the value of your agency.

Session 3
Maintaining Quality Documentation for Claim Submissions
Robin Seidman, RN, MSN, MBA, COS-C, HSC-D, LNCC
PDGM has made documentation even harder to complete and yet more important than ever. Agencies must complete documentation in less time—but if that documentation isn’t accurate, they run the risk of denials or audits, such as UPIC and TPE audits and the reintroduction of RCD. Robin Seidman will discuss how to boost efficiency by collecting the right data and ensuring accurate documentation that will keep your agency in compliance and result in accurate reimbursement.

Session 4
Employing Your EMR Technology to Improve Revenue Cycle Management
Robert Simione, CPA, and Kimberly Chapman
Are you getting the most out of your EMR? Did you know you can utilize it to improve your revenue cycle management? Robert Simione will provide practical strategies for maximizing your EMR to bill more quickly in the post-PDGM world.

Q&A Session
With Robert Simione, Kimberly Chapman, and Robin Seidman

Speakers

Kimberly Chapman

Kimberly Chapman
Senior Manager, Simione Healthcare Consultants, LLC.
Kim Chapman is a senior manager, finance & revenue cycle for Simione Healthcare Consultants, LLC. She joined the Simione team in 2020 to support the financial goals of home care and hospice clients with her strong background in claims and billing management in provider organizations and experience as a consultant and interim manager for revenue cycle management.

She previously served more than 15 years in home and community-based care organizations across billing, EMR/technology analysis, claims analytics, and quality/process improvement disciplines. Between 2005-2020, she served as director of revenue cycle management at Gulfside Healthcare Services and held progressive roles in billing coordination, RCM, and patient accounts at Chapters Health System, both in Florida. She also has experience as a revenue cycle systems analyst with Bon Secours in Virginia. She is a graduate of Saint Leo University, St. Leo, Florida, with a B.S. in healthcare management.

 

J’non Griffin

J’non Griffin, RN, MHA, HCS-D, HCS-C, HCS-H, COS-C
President, Home Health Solutions, LLC
Griffin offers home health consulting on many topics including quality assurance and performance improvement, program development, coding and OASIS review, staff education and plan of care compilation. Griffin has experience as a field nurse, director and executive with home health and hospice agencies.

Arlynn Hansel

Arlynn Hansell, PT, HCS-D, HCS-H, HCS-O, COS-C
Owner, Therapy and More, LLC
Hansell has been a physical therapist in the home health setting since October 1998, holding positions of field therapist, rehab manager, and quality/compliance assurance. As owner of Therapy and More, LLC, she assists agencies in achieving therapy documentation and practice excellence in order to better position themselves against auditors. Consulting services further consist of OASIS auditing and coding practice. She has been a member of the American Physical Therapy Association since 1995, where she recently served as the Vice President of the Home Health Section.

Sharon Harder

Sharon Harder
President, C3 Advisors, LLC
As the President of C3 Advisors, LLC, Harder oversees all home health and hospice client projects the majority of which are focused on compliance issues including ongoing scheduled compliance audits and preparation of responses to investigations and data requests. She works with several compliance committees and attorneys for client organizations on home health and hospice compliance matters.

Over the last 10 years Harder has helped hundreds of home health, hospice and long-term care providers with process redesign and efficiency improvement, compliance reviews, pre-acquisition due diligence, operational reporting and technology optimization.

Annette Lee

    

Annette Lee, RN, MS COS-C, HCS-D
Founder, Provider Insights, Inc.
Annette is a registered nurse, with a Master’s in Health Care Administration, practicing since 1990, with the majority of her nursing experience in home health. For over a decade she worked with the CMS intermediary where she provided review of, and education on home health and hospice payment and documentation. Annette then founded Provider Insights, Inc. to provide consultation and education regarding Medicare reimbursement issues and effective documentation strategies, assisting providers with ADRs and appeals. Today she marries together her experience in the “real world” and the inside knowledge of Medicare to ensure providers can meet the requirements of CMS, and ensure compliant, efficient operations. She presents nationally on OASIS, PPS, documentation and coverage. Annette holds both the Certificate for OASIS Specialist-Clinical and the Home Care Coding Specialist-Diagnosis certification.

Robert W. Markette

Robert W. Markette Jr., JD, CHC, HCS-C
For over 15 years, Robert W. Markette, Jr., CHC, HCS-C has focused his practice on representing home health, hospice, private duty and DME providers in all aspects of their operations. Markette works with his clients on issues related to Medicare/Medicaid compliance including surveys, responding to surveys, state and federal appeals of survey findings; payer issues, including appealing payer audit findings; HIPAA Compliance; Medicare and Medicaid fraud and abuse, including matters such as developing and implementing compliance programs, performing internal investigations and representing providers in external investigations and civil and criminal matters. He also assists clients with purchasing and selling home health, hospice and private duty agencies.

Markette also addresses legal issues related to employment matters, this includes wage and hour compliance, responding to Department of Labor investigations, and litigating wage and hour disputes. He has presented to the American Health Lawyers Association, the National Association for Home Health and Hospice Care, DecisionHealth as well as other national speaking events and numerous state trade association conferences and continuing education sessions. He serves on both the Board of Medical Specialty Coding and Compliance and the Board of the Association for Home Care Compliance.

Robin Seidman

Robin Seidman, RN, MSN, MBA, COS-C, HSC-D, LNCC
Legal nurse consultant and owner, Documentation Compliance Solutions, LLC
Robin Seidman has more than 18 years of experience in home care and hospice with areas of expertise in compliance and regulatory requirements; clinical/reimbursement audits; diligence/risk assessments; IRO/CIA audits; claim denials/appeals; quality/utilization review; education/training/orientation programs and implementing effective process improvements. She has successfully led numerous provider audits and assisted legal counsel in negotiating settlement agreements and has an excellent track record helping agencies under government scrutiny to decrease potential overpayment risk.

Robert Simione

Robert Simione
Director of
Data Analytics, Simione Healthcare Consultants
Rob Simione, CPA, is a Director of Data Analytics at Simione Healthcare Consultants, where he focuses on building solutions to manage, analyze and operationalize data resources related to benchmarking, cost reporting, market intelligence and financial risk assessment. Prior to leading collaborative activities with a variety of information technology companies for Simione, he served more than 10 years in financial consulting, and in corporate and tax accounting. While working for Simione, Rob has developed a great understanding of data resources to support effective collaboration among information technology vendors and providers of home-based care.

About AHCC Membership

AHCC members support the association’s mission by earning and encouraging professional credentialing, participating in or sponsoring continuous professional education and training activities for skills maintenance, and participating in advocacy activities to help increase the visibility of the integral role post-acute care plays in the care continuum. Members include:

  • Home Health Nurses
  • Coders & Coding Managers
  • QA & Compliance Managers
  • Therapists
  • Clinical Supervisors
  • Compliance Officers


Premium Level Member Benefits Include:

  • Resources library
  • CEU quiz (12 annually)
  • Career center
  • Discounts on AHCC events
  • Forum
  • Quarterly journal w/CEUs
  • Quarterly “best practices” papers
  • Quarterly town hall calls
  • And more …

Achieving Accurate Payment Home Health Virtual Event - On-Demand

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Achieving Accurate Payment Home Health Virtual Event - On-Demand