[3821] The Top 5 Hospice Claim Denials and How to Avoid Them
A review of the top hospice claim denials from all Medicare MACs,
OIG & other review contractors.
Presentation Info:
- TAHC&H Event Administrator Conference | Rich-Media Presentation Capture | Online On-Demand Access
- Presentation Date | November 8, 2023
Program Description: This program provides a review of the top hospice claim denials from all Medicare MACs,
OIG & other review contractors. Targeted Probe & Educate is in full swing and this program helps navigate the edits and the denial percentages that are being produced.
It is imperative that agencies are prepared to successfully navigate the Medicare medical review process!
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
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): 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.
[3821] The Top 5 Hospice Claim Denials and How to Avoid Them
