[3823] Will your Hospice Documentation Withstand the Scrutiny of a Medical Review Audit?
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.
Presentation Info:
- TAHC&H Event Administrator Conference | Rich-Media Presentation Capture | Online On-Demand Access
- Presentation Date | November 8, 2023
Program Description: 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 denial. Reviewers often look for a significant decline in patient condition.
Although this is not a requirement of hospice care, terminal prognosis is. This program helps clinicians document the slightest changes in baseline measures.
More importantly, you'll learn how to capture in documentation the occurring changes that support terminal prognosis – even without a decline in baseline measures.
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.
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][6]risk assessment and management
- §558.260[a][7]financial management
Education-Training Credits:
- TX HCSSA Administrator/Alternate Continuing Education
- Continuing Education for Nurses
- 1.0 Contact Hr(s)
- This program awards CNE until 11.08.2025
Texas HCSSA CE Approval Statement
This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
Nurse CE Approval Statement
Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by Louisiana State Nurses
Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. LSNA Provider No. 4002151
Requirements for Successful Completion
To receive continuing education credits for this online presentation participant must view the entire online presentation, complete an evaluation, and post-test attestation.
Reporting of Perceived Bias
Bias, as defined by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC COA/LSNA) is the “tendency or inclination to cause partiality, favoritism, or influence.”
Commercial bias may occur when a CNE activity promotes one or more product(s) (drugs, devices, services, software, hardware, etc.). This definition is not all inclusive and participants may use
their own interpretation in deciding if a presentation is biased. The ANCC COA is interested in the opinions and perceptions of participants at approved CNE activities, especially in the presence
of actual or perceived bias in continuing education. Therefore, ANCC invites participants to access their “ANCC Accreditation Feedback Line” to report any noted bias or conflict of interest in the
education activity. The toll free number is 1(866) 262-9730.
TAHC&H Faculty/Presenter(s): Leslie Heagy RN, COS-C, Director of Clinical Services, Healthcare Provider Solutions, Inc.
About the Presenter(s): Leslie Heagy Leslie Heagy is Registered Nurse who joined Healthcare Provider Solutions, Inc. (HPS),
as the Clinical Services Manager, in June 2017. Leslie is part of the clinical consulting team providing support and solutions to home health and hospice agencies across
the country to achieve regulatory compliance. In 2022, Leslie was promoted to Director of Clinical Services over both home health and hospice clinical consulting.
Leslie has operational experience in the survey process for Medicare/Medicaid licensed agencies and has assisted agencies in
developing/implementing corrective action plans. Her experience includes clinical consulting, performing clinical chart reviews, onsite billing audit reviews,
provider education, developing and implementing quality and performance improvement programs for home health and hospice agencies.
[3823] Will your Hospice Documentation Withstand the Scrutiny of a Medical Review Audit?
