Get back to the basics of hospice and home health revenue cycle. Economic, policy, and payer changes continue to
impact operations and cash flow. This conference is designed to deepen understanding and discuss billing nuances,
requirements, and future changes in the industry. Attendees will also be equipped with financial tools and operational
strategies for maintaining positive outcomes in the revenue cycle.
Learn about various components that result in reimbursement within the PDGM payment model. This includes how coding
interfaces with other aspects of PDGM such as functional impairment, diagnoses will be located in the clinical groupers and the
importance of comorbidities and the changes to the adjustment with the CY2022 final rule. Discuss the importance of face-to-face related to coding and issues that have been recently identified with PCR related to coding, and who can confirm diagnoses.
Discuss relational terms and what assumption can be made in coding within the classification. Review conventions and code
assignment of the multiple chapters and body systems, including: circulatory, endocrine, nervous, respiratory, COVID, injuries
and complications, surgical complications, neoplasms, infection, mental and behavioral, musculoskeletal and symptom chapter
coding. Discuss social determinants of health (SDoH) and those coding specifics that can come from the clinician.
14.0 Continuing Education Contact Hours have been awarded by Iowa Western Community College, Iowa Board of Nursing Provider #6.
Objectives:
- Identify proposed 2023 payment rules.
- Apply Home Health, Hospice, and Palliative care billing guidelines.
- Apply claim submission and billing codes.
- Define Medicare Advantage Plans Value Based Insurance Design.
- Optimize cash flow through from intake to billing.
- Measure revenue cycle performance, KPIs, metrics, and analytics.
- Explain PDGM basics as they relate to coding and reimbursement.
- Identify frequent issues that may arise related to F2F related to diagnosis coding.
- Discuss the “with” convention and other relational terms.
- Identify accurate code assignment as it relates to various body systems.
- Discuss recent coding notables that the coder should know.
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