During the last 3-5 years, Hospice has been the support of the Medicare Administrative Contractors. More hospice companies lose a lot of dollars because of claims that were denied in the ADR procedure. The hospice business is not familiar with this kind of appraisal of the claim. Zone Program Integrity Contractors are not with standing getting more into the round of checking on the hospice claim with expanding occasions of mass refusals because of a basic shortage of quality documentation and assessment of the clinical record. This course will talk about a few of the top hospice detail reasons and approaches to avoid this in your agency with guaranteed documentation.
In spite of the fact that the documentation has not altered much in hospice, the assessment by the MAC's has changed a considerable amount. This is a lesson on backpedaling to the rudiments of hospice documentation.
Heather has been in the home care industry for the past 25 years.She received her Bachelors Degree in Nursing from the University of Alabama in Birmingham in 1992. She has extensive field and case management experience in both home health and hospice. Heather has held various positions in home health and hospice agencies to include supervisor, performance improvement coordinator, staff development director, and appeals auditor. She has a vast knowledge of state and federal regulatory guidelines. Heather has also written many policies and procedures to include standardized nursing procedures for submission to the nursing board. Performance improvement activities, auditing, and development of state actions plans are also an area of expertise for Heather. She has taken a lead role in the preparation of home health and hospice agencies for accreditation by the state and also CHAP and ACHC. Although, education remains Heather’s passion in this rapidly changing home health and hospice industry. Heather holds certifications in OASIS competency, COS-C and as a Homecare Coding Specialist-Diagnosis and Hospice, HCS-D & HCS-H. She is a CHAP trained consultant and has also authored a book on medical necessity for home health. Heather currently works as a Director of Special Projects and Appeals for Home Health Solutions, LLC. She enjoys spending time with the family is an avid football fan and enjoys playing and coaching softball.
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