Avoid Hospice Bill Mistakes and Denials

Event Information
Product Format
Prerecorded Event
Judy Adams, RN, BSN, HCS-D, AHIMA approved ICD-10-CM Trainer
90 minutes
Product Description

Hospice Bill Scrutiny Continues: Update Your Reimbursement Rule Know-How

There is ongoing scrutiny surrounding hospice claims—and the Centers for Medicare and Medicaid Services (CMS) updated its billing instructions on Jan. 1, 2018. Meanwhile, open questions abound regarding the content and submission of the hospice Notice of Election and Certificate of Terminal Illness. You need to untangle your confusion, get straight about the most up-to-date reimbursement rules, and ensure your billing practices are sound!

Join healthcare consultant Judy Adams in this information-packed webinar as she guides you through the latest updates and instructions for completing and filing hospice program notices and accurate claims. She will get you up to speed on billing changes and revisions, explain the required content needed in a Certificate of Terminal Illness, and decode filing requirements for Change of Ownership and Change of Provider/Transfer paperwork. Plus, Adams will give you the guidance you need to conduct pre-bill audits.

After attending this instructive session, you will know how to create correct notices and hospice claims—and significantly reduce your chance of denials. You’ll be on your way to ensuring your hospice program receives timely and accurate reimbursements!

Session Highlights

Here is a taste of what you will uncover in this session:

  • An overview of common hospice denials
  • Tips for how to avoid the most common billing pitfalls
  • Billing changes effective Jan. 1, 2018
  • Notice of Election forms: proper completion/content, filing timeframes, exceptions to the timeliness requirement, how to appeal denials for timeliness, late filing, filing corrections, and cancellations
  • Certificate of Terminal Illness forms: required content, who can complete it, timeframes, and what to do if the diagnoses do not match between the CTI and the clinical record
  • How to complete Notice of Termination/Revocation/Discharge, Change of Ownership, and Change of Provider/Transfer forms
  • Face-to-face documentation: content, timeframes, and who is responsible
  • How to conduct pre-bill audits

 Session Agenda

  • Hospice billing trends
  • Continuous Home Care
  • Claims coded with a single diagnosis
  • Top Hospice denials Oct-Dec 2017
  • How to avoid auto denials (56900)
  • Certification narrative statement
  • Certification tips
  • Plan of care
  • Issues associated with required forms for hospice billing and coverage
  • Potential NOE late submission issues
  • NOE and NOTR correction
  • Hospice claims processing
  • Levels of hospice care
  • Enhancements to processing hospice routine home care payments
  • Continuous home care
  • Inpatient respite care

Who Should Attend

  • Hospice management staff
  • Billers
  • Medical records personnel
  • Quality improvement staff
  • Compliance officers
  • Clinicians
  • Any personnel involved in the billing process

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

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About Our Speaker

Judy Adams - Home Health Coding Expert

Judy Adams, RN, BSN, HCS-D, HCS-O, has been involved in health care in numerous health care setting over the span of her career. She has been involved in nearly every aspect of home health care over the last three decades including direct clinical care, supervision, administration and quality improvement.

In 2009, she opened her own education and consultation company with a primary focus on...   More Info
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