ICD 10 requires more specific information for patients related to the diagnosis. The clinician will need to collect more assessment information on admission, recertification and ROC, and document this info. Also, the clinician will have to query the physician for questions regarding symptoms and specific diagnosis. Without all of this being done initially by the clinicians, coders will not be able to code, which means that it will be sent back to the clinician, causing delay in timeframe for getting the POC out the door, the OASIS locked and the RAP billed.
This comes at the same time that Medicare / State surveys have intensified – many more survey days mean surveyors having time to scrutinize more clinical records, which may lead to more deficiencies including condition level deficiencies. Clinicians must be aware of what is needed in documentation to understand what causes condition level deficiencies and immediate jeopardy, and how to be compliant.
In this audio session, expert speaker Sharon Litwin, RN, BS, MHA, will address both of these very critical areas that clinicians in homecare need to understand in order to be compliant. She will review ICD-10 and address common and challenging diagnoses. The focus will be on what the clinician needs to identify, query physician and document resulting from SOC admission, recert and resumption visits.
She will also discuss what the clinician is required to document in order to maintain compliance to state and Medicare regulations. Additionally, this session will provide information on variances between standard and condition level deficiencies, and what can cause immediate jeopardy. This session will increase the clinician’s knowledge of the “rules” so that they can be more adept at documentation.
Who should attend
Clinical Directors, Managers, QA Coordinators, Clinicians
Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.
Sharon M. Litwin, RN, BSHS, MHA, HCS-D, Founder and Senior Managing Partner, 5 Star Consultants, LLC (2003 - Present)
Sharon Litwin, founder and senior managing partner of 5 Star Consultants, a national consulting and coding firm specializing in homecare and hospice services since 2003. Sharon was also an ACHC surveyor until December 2013, and a former CHAP surveyor, performing Medicare deemed surveys for ten years.