[3283] Hospice Regulatory Compliance: Certifications of Terminal Illness/Election/Comprehensive Assessment
These items are part of every medical review and there is a new focus on them during Medicare surveys.
TAHC&H CONFERENCE RECORDING: This program was presented on 08/28/2019 at the Texas Association of Home Care & Hospice 50th
Annual Meeting in Grapevine. It is one of 17 presentations captured and produced for online access. Subscribers receive 24/7 on-demand access from
both home and office during the subscription period shown at the bottom of this page.
Presentation Info:
- Presentation Date: August 28, 2019
- TAHC&H Event: TAHC&H Annual Meeting | Grapevine
Education-Training Credits:
- TX HCSSA Administrator/Alternate Continuing Education
CE Approval Statements:
· This program meets continuing education requirements
for Administrators and Alternates under Texas HCSSA licensing regulations.
HCSSA Topic(s) Addressed:
- §97.259[d][4]agency responsibilities
- §97.260[a][3]basic principles of management in a licensed health-related setting
- §97.260[a][6]risk assessment and management
- §97.260[a][7]financial management
Program Description: Regulatory Compliance is of grave concern always, but especially during times of
heightened scrutiny by medical reviewers. CMS’ has stated concerns about the sources of clinical information for hospice certifications of terminal
illness (CTI) and other recent reminders from CMS emphasizes the importance of compliance with CTI and Medicare election statement requirements. These
items will be part of every medical review and there is a new focus on them during Medicare surveys. The comprehensive assessment of the patient is
the ground work for the care to be provided and requires additional attention by most agencies. This program delves deep into the requirements for
the CTI, Medicare election statement and comprehensive assessment and their impact on operations. It also covers other regulatory and billing necessities
such as the plan of care, Notice of Election (NOE), and current medical review topics.
Program Learning Outcome: Participants will actively engage in the learning activity and indicate an
intent to change their practice by implementing best practices in the comprehensive assessment of the terminal patient to contribute to optimal patient outcomes.
TAHC&H Faculty/Presenter: Melinda A. Gaboury, COS-C, CEO, Healthcare Provider Solutions, Inc.
About the Presenter:
Melinda A. Gaboury with more than 27 years in home care, has over 17 years of executive
speaking and educating experience, including extensive day to day interaction with home care and hospice professionals. She routinely conducts Home Care and
Hospice Reimbursement Workshops and speaks at state association meetings throughout the country. Melinda has profound experience in Medicare PPS training,
billing, collections, case-mix calculations, chart reviews and due diligence. ZPIC, RA, ADR & TPE appeals with all Medicare MACs have become the forefront of
Melinda’s current impact on the industry. She is currently serving on the NAHC/HHFMA Advisory Board as ex-officio and is Associate Director on the Home Care
Association of Florida Board of Directors. Melinda is also the author of the Home Health Pocket Guide to OASIS-C2: A Reference for Field Staff.
[3283] Hospice Regulatory Compliance: Certifications of Terminal Illness/Election/Comprehensive Assessment
