Home health agencies have had to evolve to accommodate the Review Choice Demonstration (RCD), in particular, Pre-Claim Review. Likewise, an evolution of sorts has occurred in the interpretations and practices of the medical reviewers. We will examine the recent trends that have emerged, review some examples and learn how to ensure that the documentation your agency is submitting will affirm quickly, now and in the future.
Objectives:
Kimberly Wilkerson, MBA, LPN, CHCE, COS-C, HCS-D
Consultant
SimiTree Healthcare Consulting
One might say that Kim Wilkerson essentially "grew up" in home health, having spent almost her entire adult life working in it. After working for a few years for other companies, she managed to scrape together $5000 for an initial payment for a 5 patient census home health agency outside of Houston. She sold the agency in 2007 after increasing it to a census of over 500 patients in three offices. After "retiring" to Key West in 2008, she then successfully opened a new agency in an area where there had only been one agency for over 25 years. She then sold that agency in 2017. Through these acquisitions, she has seen the good, the bad, and the ugly and learned from it all. Active now in consulting, focusing on due diligence and compliance, she is a wealth of practical knowledge for anyone needing advice from someone who's "been there".
We hope to provide 1.0 continuing education units for skilled nursing, occupational therapy, and speech therapy.
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