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Home-Based Care & (Re)emergence of Managed Care: Opportunities & Strategic Imperatives [1HR]
Home-Based Care & (Re)emergence of Managed Care: Opportunities & Strategic Imperatives [1HR]
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Medicare Targeted Probe & Educate [1.5HR]
[3116]
$45.00


[3116] Medicare Targeted Probe & Educate
Learn how to respond to record requests and subsequent audit findings.


Presentation Info:

  • Presentation Date: August 8, 2018
  • TAHC&H Event: TAHC&H Annual Meeting | Frisco

Subscription Type: Individual

Education-Training Credits:

  • TX HCSSA Administrator/Alternate Continuing Education
    • 1.5 Clock Hrs
  • Continuing Education for Nurses
    • 1.5 Contact Hr(s)
    • This program awards CNE until 8.8.2020

CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by the Texas Nurses Association - Approver, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

HCSSA Topic(s) Addressed:

  • §97.259[d][4]agency responsibilities
  • §97.260[a][2]development and interpretation of agency policies
  • §97.260[a][6]risk assessment and management
  • §97.260[a][7]financial management

Program Description: This program reviews the goal of the Targeted Probe & Educate audit process. Learn how to respond to these record requests as well as the subsequent audit findings. The timelines for responses and the recoupment process are defined. This presentation describes likely audit risks for home health agencies and how to monitor those risks, including analyzing PEPPER reports. It will not only assist in providing a checklist for the documentation required to be sent in, but also suggest a checklist of things to review in the chart before sending it in.

Program Learning Outcome:

  • Learners will actively engage in the learning activity and indicate an intent to change their practice by using the PEPPER reports to target documentation enhancements that will result in more successful Targeted Probe and Educate results.

TAHC&H Faculty/Presenter: Melinda A. Gaboury, COS-C Chief Executive Officer, Healthcare Provider Solutions

About the Presenter:
Melinda Gaboury
, with more than 27 years in home care, has over 17 years of executive speaking and educating experience, including extensive day to day interaction with home care and hospice professionals. She routinely conducts Home Care and Hospice Reimbursement Workshops and speaks at state association meetings throughout the country. Melinda has profound experience in Medicare PPS training, billing, collections, case-mix calculations, chart reviews and due diligence. ZPIC, RA, ADR & TPE appeals with all Medicare MACs have become the forefront of Melinda’s current impact on the industry. She is currently serving on the NAHC/HHFMA Advisory Board as ex-officio and is Associate Director on the Home Care Association of Florida Board of Directors. Melinda is also the author of the Home Health Pocket Guide to OASIS-C2: A Reference for Field Staff.

[3116] Medicare Targeted Probe & Educate

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Subscription Type & Duration:
This product was added to our catalog on Thursday 26 July, 2018.
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