Home Health Line and DecisionHealth® present...
Prepare for face-to-face probe & prevent denials
Recorded • Wednesday, March 9, 2016
On Demand access!
Prepare now for CMS’ “Probe and Educate” review, minimize risk of denials
CMS keeps changing the rules for what will justify a face-to-face (F2F) visit and the need for home care. With its recently launched home health “Probe and Educate” review, agencies are guaranteed to see an increase in denials. Every agency nationwide will receive five ADRs and auditors will scrutinize agencies’ documentation. This will be the first true test as to how well agencies are complying with the ongoing changes to face-to-face documentation requirements.
When it comes to F2F denials, 2015 may have been the calm before the storm and the home health industry should expect more denials and more activity from auditors involving face to face in 2016. “Overall, the probe will have the second-biggest impact on home health operations and financials among all regulatory changes and requirements,” according to respondents to HHL’s 2016 Trends Survey. Don’t put your agency at risk, prepare now!
Gather your staff and join home care compliance experts, Robert Markette and Joe Osentoski, for an in-depth, plain-English explanation of the probe-and-educate review, how to prepare for a MAC audit, ensure proper F2F documentation, and minimize the risk of denials and their impact on your bottom line. During this session, you’ll learn how to:
- Prevent denials during CMS’ nationwide probe
- Satisfy MAC’s needs for detailed documentation, prevent F2F denials
- Fight denials and win on appeal
- Flag key information in documentation sent to MACs
- Lessons learned from agencies that have received ADRs
- Process for getting documentation from physicians
- Details on what documentation MACs are requesting
Order your copy now and learn how to prepare for face-to-face probes and prevent denials that can negatively impact your bottom line.
YOUR EXPERT PRESENTERS
Robert Markette, Attorney, Hall, Render, Killian, Heath & Lyman, P.C., Indianapolis, Ind.
Robert Markette is an attorney at Hall, Render, Killian, Heath & Lyman, P.C. in Indianapolis. Robert’s primary areas of practice are health law, Medicare/Medicaid compliance, fraud and abuse, employment law and litigation. He is certified in health care compliance by the Health Care Compliance Board. Robert assists clients including county health departments, home health agencies, private duty agencies, hospices and physicians with a wide range of health care compliance and litigation issues.
Joe Osentoski Joe Osentoski, Clinical Consultant, A.D. Maxim Consulting, Troy, Mich.
Joe Osentoski is a clinical consultant with A.D. Maxim Consulting. He specializes in additional documentation request (ADR) appeals and has been a registered nurse for more than 20 years. Joe has worked for 20 years as a clinical consultant in home health and hospice, specializing in clinical quality assurance and regulatory compliance. He also has extensive experience with multiple Medicare audits, pre-pay probes, compliance audits and targeted medical reviews. He has completed over 5,000 ADRs in home care and hospice, filed thousands of appeals and has had several thousand claims resolved at the ALJ level.