Home Health Billing Webinar Series: Part 1 of 4 Sessions
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Part 1: PDGM Model Review & Impact on Billing
Tuesday, December 13, 2022, 10:00-11:30 AM ET
Summary
The first part of this four-part series covers the following topics:
- Key revenue cycle operations affected by the PDGM
- Necessary modifications to the intake and referral process under the PDGM
- Data to assist in determining the financial impacts of the PDGM on a home health agency
- Specificity requirements of coding under the PDGM
- Strategies for improved physician interaction to ensure timely 30-day billing
- The importance of clinical review of each 30-day payment period under the PDGM
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Part 2: Submission of the NOA & Specifics of Billing 30-Day Final Claims
Tuesday, December 20, 2022, 10:00-11:30 AM ET
Summary
The second part of this four-part series covers the following topics:
- Detail requirements for submitting the Notice of Admission (NOA)
- Scheduling strategies to prevent penalties for late NOAs
- NOA exceptions request process
- Requirements for submitting final claims
- Complexities of determining Low Utilization Payment Adjustment (LUPA) thresholds under the PDGM
- Reconciliation process after posting payments for claims
Click here to learn more and register.
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Part 3: PEPPER Reports & Best Practices for Implementing the Results
Tuesday, January 10, 2023, 10:00-11:30 AM ET
Summary
The third part of this four-part series covers the following topics:
- The Payment Patterns Electronic Report (PEPPER) and how it relates to 30-day final claims
- Specific targets and data behind the calculation
- PEPPER scores and comparisons to national statistics
- PEPPER data effect on medical review
- Process for providers to evaluate data and implement a plan of correction if needed
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Part 4: Medicare Advantage & Medicare Secondary Payer
Tuesday, January 17, 2022, 10:00-11:30 AM ET
Summary
The fourth and final part of this four-part series covers the following topics:
- The credentialing process with Medicare Advantage (MA) plans
- The most important questions to ask before signing an in-network agreement
- The impact of MA plans on the Medicare program
- The most common claim denial reasons and how to work through them
- The most common roadblocks in getting MA plans to appropriately process and pay claims
- Details of Medicare Secondary Payer (MSP)
- Best practices for determining when MSP applies
Click here to learn more and register.
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