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MACs, RACs, and ZPICs
Home health agencies must ensure that their diagnosis coding can withstand the rigors of audits and review by a multitude of reimbursement and regulatory bodies.
In recent years home health agencies have generally received very few requests for medical records and audits. However, with the advent of new Medicare Administrative Contractors (MACs), Recovery Auditor Contractors (RACs) and Zone Program Contractors (ZPICs), home health claims will receive increased audit scrutiny to ensure that the claim was paid appropriately.
Join Judy Adams to zoom in on the key requirements that support accurate ICD-9-CM diagnosis coding. Judy will also give you instruction on basic principles for the selection of diagnosis codes for home health episodes.
PLUS: Case examples that illustrate the best selection and sequencing of diagnosis codes for sample home health situations.
Here's a sample of what's covered in this session:
- The role of diagnosis coding in determining reimbursement and quality outcomes
- Official sources for coding information, guidance and direction
- The keys to establishing and supporting diagnosis coding in the home health setting
- Diagnosis coding and the home health prospective payment system - Do it right
- The right way to document and support diagnosis codes
- Mini scenarios that put it all together
- Monitor your agency’s performance and compliance related to diagnosis coding.
Why use AudioEducator?
- Skip the costly travel arrangements and wasted time. Our conferences are available from the comfort and convenience of your own office or meeting room.
- Multiple formats to fit your training needs. All of our conferences are available on CD or PDF transcript so you can train your staff around your schedule.
- Every conference includes the speaker's materials so you can keep learning long after the conference is over.
- Gather around a speaker phone or computer and train your team for one low price.
- Multiple locations? Ask our customer specialists about discounts for your whole staff.
Order Below Or Call 866-458-2965 Today!
Judy Adams is President and CEO of Adams Home Care Consulting, Inc. and provides clinical and operational consultation and education services to home care, home health and hospice organizations. She has 30 years of experience as a nurse executive and consultant. Her nursing experience includes educational, supervisory, administrative and staff positions in a variety of institutional and community health settings. Judy held numerous positions with two large home care agencies, including the management of a successful home care, private duty and supplemental staffing division as well as Quality Improvement Director, responsible for JCAHO preparation in a multi-branch organization. For over eight years, she worked as the special projects coordinator for the North Carolina Association for Home Care. She has also served as a consultant affiliated with several different consultation firms for more than 15 years.
Judy earned her degree in nursing from the University of North Carolina at Chapel Hill. She also has a certification as a Homecare Coding Specialist – Diagnosis (HCS-D), from the Board of Medical Specialty Coding and a certificate as a OASIS Specialist - Clinical (COS-C) from the OASIS Certificate and Competency Board. As an active member of the North Carolina Association for Home Care, she serves on the Liaison Committee to the NC Division of Facility Services. She is also a member of the Advisory Panel to the Board of Medical Specialty Coding. Judy co-authored a chapter on home care in “The Law and the Elderly in North Carolina,” and she has contributed to numerous educational manuals, videos and newsletters on a variety of home care topics. She is also the recipient of the Ellen B. Winston Award for Outstanding Contribution to Home Health in North Carolina.
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- Skip the costly travel arrangements and wasted time. Our conferences are available from the comfort and convenience of your own office or meeting room.
- Multiple formats to fit your training needs. All of our conferences are available on CD or PDF transcript so you can train your staff around your schedule.
- Every conference includes the speaker's materials so you can keep learning long after the conference is over.
- Gather around a speaker phone or computer and train your team for one low price.
- Multiple locations? Ask our customer specialists about discounts for your whole staff.w codes now unbundle placement of a stereotactic frame when performed.
