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Home Health Billing Webinar Series: Part 3 of 4 Sessions

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
Click here to learn more and register.

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.

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
Click here to learn more and register.

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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