Do you know the top TPE/ADR and Medicare claim denial risks? Prepare for rising medical record claim reviews by arming yourself with consistent processes to craft effective appeals to Medicare claim denials.

 WEBINAR DETAILS

With medical record claim reviews back in full force, more hospices are finding themselves on the receiving end of claim denials. Whether clinical eligibility or technical denials, appeals is a critical piece of the TPE/ADR process. This session will explore how to craft an effective appeal response using a timely and systematic process, organization tools, and relevant but often-overlooked clinical information.

AFTER THIS WEBINAR YOU’LL BE ABLE TO:

• Understand the top trends in TPE/ADR and other claim review denials
• Identify Medicare claim denial risks and how to manage these unfavorable decisions
• Implement a process for responding to claim denials using best practices
• Respond to redetermination and reconsideration level claim denials
• Identify areas of opportunity in your program and risks that could impact outcomes in later rounds of TPE
• Use record review tools and processes that improve the likelihood of favorable decisions on claim audits

THIS WEBINAR WILL BENEFIT THE FOLLOWING AGENCIES: Hospice

WHO SHOULD ATTEND?  This informative session is designed for executive leaders, compliance team members, physicians, clinical managers, and anyone who develops appeal responses for Medicare claim denials.

TAKE-AWAY TOOLKIT

• TPE/ADR record response organization tool
• LCD checklist
• Sample tracking tool for all levels of claim review
• Training log
• PDF of slides and speaker’s contact info for follow-up questions

NOTE: All materials are subject to copyright. Transmission, retransmission, or republishing of any webinar to other agencies or those not employed by your agency is prohibited. Print materials may be copied for eligible participants only.

MEET THE PRESENTER:  Jen Kiehl, MBA, BSN, RN, Hospice Support Specialists

Jen Kiehl holds an MBA and has been a registered nurse since 1996. She started her hospice career in 2004 as a Clinical Director for a small start-up in rural PA. Since then, she has held leadership positions at the local, regional, and national level for both large and small for-profit and non-profit organizations. Jen has been sharing her expertise in growth, operations, compliance, and clinical strategy as an independent consultant since 2016. It is Jen’s philosophy that the growth of a successful hospice is dependent on a strong and compliant clinical program. There is no “sales” in hospice; census is built upon collaborative relationships that are founded in service excellence. Growth, however, is only a small component of a successful organization. In order to effectively lead a great program, it is essential that managers understand, evaluate, and drive all of the different components that measure organizational excellence through well-defined, streamlined, and competitive processes.

CLICK HERE to register

DON’T MISS THESE RELATED WEBINARS!

How to Respond to an ADR: Step-by-Step Directions recorded on February 14, 2023, now available on demand

Reducing the Risk of Clinical Claims Review Denials by Managing Live Discharges recorded March 29, 2023, now available on demand

Hospice Medical Review in a Medicare-Certified World  on Tuesday, December 5, 2023