Protecting Revenue by Preventing Denials in CMS’ Newest Targeted Probe and Educate Reviews

Event Information
Product Format
Prerecorded Event
60 minutes
Product Description

Prepare for CMS’ New Targeted Probe and Post-Payment Review

The CMS implemented a new targeted probe and educate (post-payment) review, which will involve 20-40 records per round. There is a possibility of up to three rounds of review. Join this session, where expert speaker Cheryl Adams will provide an overview of the CMS probe and educate review process for expansion.

Cheryl will explain affirmation definitions, face-to-face requirements, and proven, practical ways to establish processes for making submission easier and 100% affirmations possible. She will describe elements, cite face-to-face encounter requirements and will identify the strategies that work.

With this session, you will learn how to avoid risking lost revenue. You will also be able to review a record and ensure thorough complete required documentation, and will understand the necessary steps in submitting a record without denials.

Session Highlights

This session will cover:

  • Basic ADR, probe and PCR elements
    • Review of requirements
    • Knowledge gained
  • Strategies that work
  • Referral materials needed
  • Certification and recertification statements
  • Plan of care language
  • Submission approaches

 Session Agenda

  • Certification and recertification
  • Face to face encounter
  • Agency documentation to support certification
  • Plans of care
  • Referral Information
  • Submission strategies
  • Staff training: Behavior change

Who Should Attend

  • Administrators
  • Directors
  • Managers
  • Financial leaders
  • Home care RN’s

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About Our Speaker

Cheryl Adams

Cheryl Adams RN, BSN, MBA with 38 years of clinical nursing and healthcare executive experience. Cheryl has been the administrator of At-Home Health Care of Sparta Community Hospital since its inception in 1996. Cheryl is responsible for developing, implementing and sustaining the business plan for the hospital based home health agency known as At-Home Health Care. The agency under her direction has a history of multiple deficiency free...   More Info
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