Additional documentation medical review audits (ADRs), TPE, and Medicare oversight continue. Not only are these audits ongoing, but they are also increasing, especially in certain states. It’s no longer a matter of if your agency will face an ADR, but when.

 AFTER THIS WEBINAR YOU’LL BE ABLE TO:

• Describe the process of responding to an ADR submission
• Identify agency responsibilities for an ADR compliant submission
• Use recommended best practices for a submission
• Name three key first steps when receiving an ADR submission request
• Know the levels of Medicare appeals and timelines involved

WEBINAR DETAILS: Medical audit reviews and oversight are on the rise and all agency staff should have a working knowledge of this process. This presentation will be your “how-to” guide on responding to an ADR. It will review the process, beginning with receiving the letter and the initial, critical first steps. Those initial key steps lay the groundwork for how well submission will go. The program will review best practices on managing the process from start to finish, including what/how to submit documentation for easy auditing. The more organized you are the better, if additional follow-up is required.

This presentation will go through some of the tough questions to consider before starting the submission process. Can you handle this process internally? Do you need outside assistance? When should legal guidance be sought? Start 2024 off right with understanding the ADR submission process. There’s nothing to fear and everything to gain.

THIS WEBINAR WILL BENEFIT THE FOLLOWING AGENCIES: Hospice, Home Health

WHO SHOULD ATTEND? This informative session is great information for all agency personnel, including board members, administration personnel, finance staff, executive management, clinical management and supervisors, QAPI staff, medical directors, liaisons, clinical staff, and intake and medical records personnel.

TAKE-AWAY TOOLKIT

• 5 levels of appeals in fee-for-service
• NGS hospice documentation checklist
• Links to:
  • Prepayment medical review additional development request (MR ADR) quick resource tool
  • Medical review additional development request (MR ADR) quick resource tool
  • Postpayment medical review additional development request (MR ADR) quick resource tool
  • ADR letter example
  • Hospice documentation checklist
  • Training log
  • PDF of slides and speaker’s contact info for follow-up questions

DON’T MISS THESE RELATED WEBINARS!

ADR Management: Agency Policy & Procedures for Enhanced Oversight originally presented on Wednesday, January 17, 2024; recording available 

How to Effectively Audit Hospice Documentation on Wednesday, May 1, 2024 

Compliant Pre-Bill Audit Process for Hospice Billing on Tuesday, June 18, 2024

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: Kathy Ahearn, RN, BSN, PHN, ALECC, Inc.

Kathy Ahearn has a Bachelor’s in both Nursing and Social Work and is the CEO and Founder of ALECC, Inc. ALECC provides years of post-acute care experience, ranging from clinical staff to executive leadership and consulting. Kathy provides a unique ability to identify agency challenges and opportunities, quickly providing education, support, and mentoring to organizations, guiding them to a new level of operation and success.

Kathy helped develop pain scales to standardize assessment with the American Pain Society and the Joint Commission. She expanded into medical devices as a Managed Care Director developing one of the first real-time cloud-based disease specific software programs to assist patients, clinicians, and managed care organizations to improve outcomes and collect data.

Kathy began healthcare work due to a disabled parent and later a child living with chronic disease state. She has experienced healthcare professionally and personally, dedicating her life to it and to working as a change agent for the betterment of all served.

REGISTRATION FEES:     Members- $159          Non-member- $229

Your registration is for one connection only. Additional logins will be charged accordingly.  There are no cancellations or refunds.

CLICK HERE to register