Maximize your Profitability, Efficiency and Potential
Live Webinar Registration
Every Tuesday, 1:30pm to 2:30pm, Eastern Time
Starting January 14th, 2020 Gateway will be hosting 3 months of weekly INTERACTIVE calls with YOUR colleagues from multiple States and MACs to discuss issues that arise from PDGM. As a Home Health provider, you may experience problems that other agencies or industry experts have the solutions for. We will also have rotating expert panelists that specialize in Billing, OASIS, Coding, Compliance, Etc..
• Weekly updates related to what is going on with PDGM
• Holds on payments
• RCD issues related to PDGM
• Return to Provider issues
• Coding problems-Primary diagnoses not working; issues with co-morbidities
Errors made in ICD-10 multiple coding situations and incorrect sequencing problems can cause an OASIS to be Returned to Provider (RTP) this will affect reimbursement. We will use these official guidelines to code practice scenarios involving manifestation codes and sequencing.
1.Attendees will understand the guidelines for sequencing and mandatory multiple coding scenarios.
2.Attendees will be able to identify etiology/manifestation pairs and how to sequence them correctly
3.Attendees will be able to distinguish between the conventions of “code first”, “code also” and “use additional code”.
Avoiding the Pitfalls of Multiple Coding and Incorrect Sequencing in ICD-10 codes
February 27th, 1:30pm to 3:00pm, Eastern Time
During this presentation, we will review the data/information required to properly complete this form (CMS Form 1728-94) by worksheet series (i.e., S, A, B, C, D & F). We will also discuss some of the regulatory requirements to properly complete the Medicare Cost Report (MCR). We will also identify various pieces of data, information, and benchmarks available via your own MCR; much of which is mistakenly overlooked and/or misunderstood, which, when properly used can help you to improve your overall understanding and financial results going forward. The MCR can be a steppingstone to improving your ability to succeed in home health.
After this presentation, attendees will be able to:
Identify their costs per visit (CPVs) by discipline as calculated by the MCR.
Explain why their CPVs should be calculated more frequently than once a year.
Differentiate between identified strengths and weaknesses of the MCR.
Report what their profit margins are for their Medicare and non-Medicare lines of business.
Discuss their operational results as identified by their MCR.
Critique the value of their current operational analyses to enable the agency to achieve maximum profitability.
60 days into the PDGM episodes for home health and many agencies are reporting issues with choosing primary diagnoses codes that are both accurate for the patient condition and the agency’s finances. This session will discuss the ICD-10 that are not acceptable for use as a primary diagnosis and which codes to use instead. We will also give you tips for getting referral information you need to make this task easier.
1.Attendees will understand the guidelines governing the selection of primary diagnoses codes in PDGM
2.Attendees will be able to identify the most common ICD-10 codes that are not acceptable as a primary diagnosis.
3.Attendees will be able to describe the information needed on referrals to facilitate the accurate selection of valid ICD-10 codes.