Using Hospice LCDs to Improve Documentation & Prevent Payment Denials

Using Hospice LCDs to Improve Documentation & Prevent Payment Denials

Event Information
Product Format
Prerecorded Event
Presenter(s)
Conference Date
Tue, Jun 05, 2018
Length
90 minutes
Product Description

How to Use LCDs to Comply with Hospice Documentation Rules and Prevent Payment Denials


Hospices are facing intense scrutiny of their documentation. The Office of Inspector General (OIG) and the Centers for Medicare and Medicaid Services (CMS) suspect that hospice agencies provide services to beneficiaries who are not hospice-eligible, because audits show a dearth of documentation with regard to patient eligibility. The administrative and financial burden to respond to such audits is taking a toll on hospices under review – because they lack the documentation required to support patient eligibility. So what are you doing to protect yourself and your agency from actual and suspected fraud – and payment denials?

You provide excellent care to your hospice patients. It’s time to earn recognition and payment for your efforts without appearing to game the system. Learn to show you are acting as a gatekeeper to protect the Medicare Hospice Benefit – as well as being a compassionate and skilled clinician.

Join hospice consultant Beth Noyce in this information-packed webinar to learn how you should use Local Coverage Determinations (LCDs) as a road map for documentation – and lend support to the patient’s clinical eligibility for hospice.

You will learn the LCD basics that apply to all Medicare Administrative Contractors (MACs) – and how to use them for receiving hospice services. Noyce will show you examples of documentation that supports hospice eligibility vs documentation that doesn’t. You will also learn how to prevent inappropriate billing and comply with rules by identifying OIG and CMS areas of concern, and applying the findings and suspicions to your internal audits.

After attending the webinar, you will be able to defend patient eligibility for hospice services – and achieve better outcomes for compliance and payment.

Session Highlights

Here’s a sampling of what this conference covers:

  • OIG findings from Hospice claim audits and CMS’s interpretations of audits
  • CMS responses to OIG audits, including planned scrutiny of hospice documentation and billing practices
  • How to keep current on regulatory scrutiny trends
  • How to apply regulatory concerns to internal audits and QAPI programs
  • What constitutes inappropriate billing to Medicare under the hospice benefit
  • What the LOCAL COVERAGE determinations are and how to apply them to defend patient eligibility for hospice services
  • Actual examples of documentation that does/does not support hospice eligibility
  • Multiple tools to facilitate hospice patient decline and eligibility assessment
  • FY 2019 Hospice Proposed Rule content that further clarifies OIG’s and CMS’s concerns about inappropriate billing practices and fraud
  • What to expect in future scrutiny of hospice documentation and billing, based on published materials by CMS, OIG, MACs and Program for Evaluating Payment Patterns Electronic Reports

Session Agenda

  • Hospice coverage technical requirements
  • Valid technical documentation matters
  • Does IDG documentation support hospice care?
  • Election statements and certifications of terminal illness
  • Physician’s Certification of Terminal Illness (CTI)
  • Why the OIG studied NOE & CTI
  • OIG recommendations
  • Hospice certification requirements
  • Terminal illness & other conditions
  • IDG clinical notes – why are they crucial
  • CTI Issues
  • LCDs as tools
  • LCD: disease-specific guidelines

Who Should Attend

  • QAPI staff
  • Clinical managers
  • Administrators
  • Clinical patient-care staff

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

Order Below or Call 1-866-458-2965 Today

You can also order through:
Phone

1-866-458-2965

Fax

1-919-287-2643

About Our Speaker

Beth Noyce

Beth Noyce, RN, Home Health and Hospice Consultant, mentor, and educator, BSJMC, HCS-D, HCS-H, AHCC advising board member, UHPCO/UAHC Executive Director Elect, UHPCO Education Chair Beth Noyce provides education & consulting services to hospice & home health agencies, drawing on her varied leadership and patient-care hospice & home health experience.


Beth has served as a Medicare Administrative Contractor medical reviewer, presented...   More Info
More Events By The Speaker

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