Geray, Dee

Hospice | Long Length of Stay (LLOS) Compliance

[3587] Hospice | Long Length Of Stay (LLOS) Compliance
A 2021 Hospice Academy Presentation Presentation Info: TAHC&H Virtual Event | Hospice Academy 2021 | Recorded for On-Demand Access Presentation Date | August 12, 2021 Program Description: Medicare Administrative Contractors (MACs), Unified Program Integrity Contractors (UPICs) and Supplemental Medical Review Contractors (SMRCs) are busy in the hospice industry right now. As CMS and contracted agencies improve their use of data to evaluate outliers in the hospice community, it’s crucial for providers to understand how data is used, where to find provider information, and how to evaluate documentation in cases in Long Length of Stay (LLOS) cases. This session will cover the basic factors that contribute to LLOS and identify the proper tools providers can utilize for tracking decline. The session will also cover the process of completing documentation reviews, what to consider in determining ongoing decline and terminality, and how to respond to a request for additional review. HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][3]basic principles of management in a licensed health-related setting §558.260[a][7]financial management Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.0 Clock Hr(s) Texas HCSSA CE Approval Statement
This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations. TAHC&H Faculty/Presenter(s): Dee Geray, RN, Senior Clinical Consulting Manager, McBee About the Presenter(s):
Dee Geray, Senior Clinical Consulting Manager at McBee, has more than 30 years clinical and operational experience, including 6 years of military service and 20 years of hospice experience in a variety of roles with not-for-profit, for-profit, independent and corporate structured environments. Her expertise includes operationalizing CMS regulatory requirements, providing compliance and due diligence oversight, and implementing best operational and clinical practices. Dee works with hospice providers and investment firms nationwide on several project scopes and oversees a team of consultants who perform audits that include billing compliance reviews, state and accreditation survey plan of correction support, pre and post-claim reviews, mock surveys, and appeal support. She has presented in both State and National conferences on current hospice topics and industry trends. [3587] Hospice | Long Length Of Stay (LLOS) Compliance

Speaker

Geray, Dee

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3587