Home Health Recertification Narratives – What You Don’t Know May Hurt You!

How to Avoid Medical Audits & Subsequent Denials Based on Recertification Narratives!

Agencies face a significant financial risk in not understanding Recertification Narratives. This is a fairly recent addition to Medicare’s policy for home health care agencies.  There is a great risk of having multiple episodes denied if the rule isn’t followed exactly as written.

Many providers have never read about or heard about this rule established in the Final Rule for 2015. Agencies not knowing about or understanding this requirement risk losing hundreds of thousands of dollars. And, not to mention this is low hanging fruit for the Federal Government. The cost and effort associated with this could make ‘face to face’ look like a ‘walk in the park’ when medical reviews/audits and, subsequent, denials based on recertification narratives begin.

This session with expert speaker Arlene Maxim will provide you with a clear understanding of recertification narratives for home health agencies. You’ll also get sample narratives and sample forms for you to use as a worksheet for completing such documentation.

Session Highlights:

• Recertification Narratives: Overview of the Rule
• When is recertification necessary?
• Three elements of documentation for a complete narrative as required by CMS
• Identify who can complete the narrative
• Tips on writing the narrative
• Tips on encouraging compliance from physician referring to your Agency
• Role of Quality Assurance staff, ensuring compliance with the rule
• 5 tips for successful completion of the information necessary in compliance with the rule

Session Snapshots:

• What is recertification?
• Various sections in recertification
• What are the requirements?
• Overview of the rule objectives
• Dispelling homecare myths
• Identifying nursing skill
• Observation and assessment
• Likelihood of change
• Reasonable potential for complication
• 3 Week Coverage and Beyond 3 weeks
• Skilled management and evaluation of a patient care plan
• Teaching and Training
• Skilled nursing care
• Administration of Medications
• Wound care
• Rehab nursing
• Psychiatric Evaluation, Therapy, and Teaching
• Determining Recertification Frequency
• Determining Recertification Disciplines
• Elements for Compliance with the Rule

Who should attend?

• Administration
• Billing
• Quality Assurance Staff
• Owners and Operators

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