[PKG6878] Hospice HOT Topics 2023 | 2 Parts
Addresses 2 HOT Topics: Hospice Medical Review and Documentation supporting Eligibility.
Presentation Info:
- TAHC&H Event | HCSSA Administrator Conference | Recorded for On-Demand Access
- Presentation Date | November 16, 2022
Education-Training Credits:
- TX HCSSA Administrator/Alternate Continuing Education
- Part One: 1.0 Clock Hr(s)
- Part Two: 1.0 Clock Hr(s)
CE Approval Statements:
· This program meets continuing education requirements
for Administrators and Alternates under Texas HCSSA licensing regulations.
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HCSSA Topic(s) Addressed:
- §558.260[a][3]basic principles of management in a licensed health-related setting
- §558.260[a][5]quality improvement
- §558.260[a][7]financial management
Program Description:
Part One | Hospice Medical Review in a Medicare Certified World. This program takes agencies through the winding road of Medicare scrutiny.
While billing the Medicare benefit and getting paid relatively easy, there is always a risk of things being reviewed at some point and what can you do to avoid denials.
Participants will be able to define Targeted Probe & Educate (TPE) and outline the structure of how to respond to any level of medical review that may occur, including UPIC, RA, SMRC.
Part Two | Hospice Documentation Supporting Eligibility. Accurate hospice eligibility documentation is critical to fulfilling the CoPs and payment requirements.
The lack of supporting documentation for a terminal prognosis is the number one reason for claim denials under Medical Review.
The clinical documentation must go beyond the LCDs and common tools for documenting eligibility by drilling down to
the details and characteristics that differentiate terminal and chronic patients with the same diagnosis.
TAHC&H Faculty/Presenter(s): Candyce Slusher, LVN, CDCS, Owner of SLUSHER Consulting
About the Presenter(s): Candyce Slusher is a geriatric-focused nurse serving San Antonio since 1995 in multiple settings, specifically PAS since 2004.
As a Home Care Consultant her primary goal is to help agencies provide the highest quality care to seniors in their communities through regulatory compliance, creating a culture of accountability, and simplifying work-flow systems.
[PKG6878] Hospice HOT Topics 2023 | 2 Parts
