Destination Documentation: Surviving Medicare Denials & Audits

[2739] Destination Documentation: Surviving Medicare Denials & Audits

Education-Training Credits:

• 1.50 Hr(s) HCSSA Administrator/Alternate

Summary: Focus on Documentation...

HCSSA Topic(s) Addressed:

• §558.259[d][4]agency responsibilities
• §558.260[a][2]development and interpretation of agency policies
• §558.260[a][3]basic principles of management in a licensed health-related setting
• §558.260[a][7]financial management

Faculty: Warfield, Jennifer

Program Description: Agencies are constantly at risk of audits, denials, sanctions and or penalties for missing or inadequate documentation. This program will help you learn to avoid pitfalls of poor documentation, recognize areas which are likely to trigger an audit and detect items that frequently contradict care deemed to be reasonable and necessary. Additionally, you will learn ways to safeguard your agency by properly responding to ADR’s and audits. Presentation Date: 08.13.2015

Program Objectives: Upon completion of this program, the viewer will be able to:

• Describe documentation areas likely to trigger an audit
• List OASIS items that frequently contradict care that is reasonable and necessary
• Identify ways to safeguard your agency from audits and denials

About the Presenter:
Jennifer Warfield As a well-known homecare coding and OASIS specialist with extensive nursing experience, Jennifer Warfield is an informational ally for hundreds of home health agencies across the country. Certified as an official ICD-9 and ICD-10 trainer, Jennifer provides education on important industry topics, including coding, OASIS and documentation. Her passion for being an educational resource keeps her traveling across the country to agencies and associations, conducting educational workshops and speaking at numerous home care conferences. Her expert knowledge plays an integral role in the development of OASIS Analysis Plus, PPS Plus Software’s OASIS analysis software.

Jennifer received a bachelor’s degree in nursing from the University of South Alabama in Mobile, a home care coding specialist – diagnosis certification from the Board of Medical Specialty Coding in Gaithersburg, Maryland and earned her Certificate for OASIS Specialist-Clinical from the OASIS Certificate & Competency Board in New Iberia, Louisiana. She is author of two ICD-9 coding guidebooks, Tips, Tricks & Tidbits for Home Health Professionals, and is currently serving as the education director at PPS Plus Software in Biloxi, Mississippi.

[2739] Destination Documentation: Surviving Medicare Denials & Audits