Coding and Documentation Vital to Your Home Health Claims

Event Information
Product Format
Prerecorded Event
Ann Rambusch, MSN, HCS-D, COS-C, RN
Conference Date
Tue, Feb 19, 2013
60 minutes
Product Description

In Our Haste To “Get The Bill Out The Door” And Reimbursement “In The Door” Are Red Flags In Coding And OASIS Inadvertently Triggering Selection Of Our Records For Review And Possible Denials !!

Every home health agency wants to submit a compliant claim to Medicare for payment. In your haste to get the bill out the door and reimbursement in the door, are you triggering red flags in coding and OASIS that could result in denials?

Every home health agency wants to submit a compliant claim to Medicare for payment.  But in our haste to “get the bill out the door” and reimbursement “in the door” are red flags in coding and OASIS inadvertently triggering selection of our records for review and possible denials?  It’s not just the codes and OASIS M items that can result in a denial of payment. Failure to adequately document the physician face to face, skilled services, homebound status, and the focus of the plan of care can also put our claims at risk and are areas of increased scrutiny by RACs and the OIG in 2013.

Join this enlightening event presented by expert speaker who will provide you know-how on 2013 OIG Home Health Work Plan and also provide you the list of RAC home health issues.

Here's a look at what will be covered:

  • Identify five critical components of the Medicare home health claim.
  • Define CMS Medicare requirements for coverage and eligibility for home health services.
  • Identify components of the OIG Work Plan for home health in 2013.
  • Identify new additions to RAC auditor home health issues lists by region.
  • Identify ten biggest red flags in OASIS, coding, documentation and the POC.
  • Discuss the “improvement standard” – what it is and how changes may impact HH care delivery in 2013.

Who should attend? Home health clinicians responsible for completing OASIS and the POC, home health coders, OASIS and documentation quality reviewers, agency owners, administrators, and clinical directors, agency compliance staff.

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About Our Speaker

Ann Rambusch - Home Health Coding

Ann Rambusch, MSN, HCS-D, COS-C, RN, is a recognized national expert in home health coding and OASIS-C. She is a former hospital vice president of patient services and home health administrator.  She also has served as a member of the nursing faculties at Emory University, University of Texas and University of Georgia System. Ann is the founder and president of Rambusch Consulting Services in Georgetown, Texas.  Ann has served as...   More Info
More Events By The Speaker

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