Pre-conference Documentation:
Your Path to Home Health Compliance

8:00 – 9:00 a.m.

Pre-conference registration

9:00 – 10:00 a.m.

Introduction: Trends in government audits

Robert Markette

ZPICs, MACs, RACs, MICs and HEAT all are examining your claims. Find out the auditors' latest targets and recent developments in Office of Inspector General corporate integrity agreements that can shape how your agency approaches compliance.

Tool: Chart to decipher the alphabet soup of auditors

10:00 – 10:15 a.m.

Refreshment break

10:15 – 11:15 a.m.

Document homebound status, medical necessity to withstand ZPIC scrutiny

Arlene Maxim

Zone program integrity contractors (ZPICs) are scouring claims for homebound status and medical necessity documentation. Learn how to bolster your documentation to withstand ZPIC reviews and prevent denied claims and pre-payment review.

Tool: Phone screening tool to be used prior to accepting a referral

11:15 a.m. – 12:15 p.m.

Improve your processes to comply with face-to-face encounter requirements

Laura Montalvo

Don’t lose money. Streamline your agency’s processes to obtain and track face-to-face encounter documentation. Also, get audit tools to make sure that physicians’ documentation will stand up to Medicare contractor scrutiny.

Tools: Face-to-face encounter tracking tool, three physician face-to-face encounter documentation forms

12:15 – 1:15 p.m.

Networking lunch

1:15 – 2:30 p.m.

Top 10 mistakes that sink OASIS-C and coding documentation

Ann Rambusch

Avoid the top 10 mistakes agencies make with OASIS-C and coding documentation. When Medicare administrative contractors (MACs) send additional documentation requests, you need the supporting information that will back-up your claims – completing the OASIS-C form is not enough.

Tool: Auditor’s checklist for OASIS-C item consistency

2:30 – 3:30 p.m.

Target therapy audits to ensure compliance with new CMS regulations

Elizabeth Lane

Take home practical audit tools to review your therapists’ documentation and ensure your agency complies with the new CMS rules to receive the reimbursement it deserves.

Tools: Therapy audit tool, therapy care plan and reassessment template

3:30 – 3:45 p.m.

Refreshment break

3:45 – 5:00 p.m.

How to respond to internal and external audit findings

Robert Markette

Be audit ready. After this session with attorney Robert Markette, you’ll know what to do when you find compliance issues during your internal audits and what to do when a government contractor sends you a demand letter.

Tools: Timelines for internal and external audits, sample policy for what to do when you discover issues during internal audits

5:00 p.m.

Pre-conference adjourns