502. Home Health Revenue Cycle Management: Optimization of PDGM and Medicare Audit Defense

  • Room: Sheraton 4-5
Tuesday, August 03, 2021: 8:00 AM - 9:40 AM
Education Credits:Course Level: Intermediate; 2 Accounting CPEs (NASBA/FIN); 1.6 Nursing CNEs contact hours

Speaker(s)

Faculty
Andrew Wachler Esq.
Managing Partner
Wachler & Associates, P.C.
Faculty
Melinda Gaboury COS-C
Chief Executive Officer
Healthcare Provider Solutions, Inc.

Description

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The home health revenue cycle continues to be affected by new threats to cash flow and compliance. The transition to “no-pay” Requests for Anticipated Payment (RAPs) for Medicare and Medicare Advantage directly impacts all aspects of revenue cycle operations and presents a new threat for revenue leakage. Compliance initiatives continue to pose threats in the form of the Review Choice Demonstration (RCD), service-specific post-payment medical reviews and the expected resumption of Targeted Probe and Educate (TPE), as well as Unified Program Integrity Contractor (UPIC) and Office of Inspector General (OIG) audits, putting agencies with weak revenue cycle or documentation management practices at significantly increased risk. This session will offer insights, benchmarks, and strategies for optimizing revenue cycle management by enhancing cash flow and mitigating compliance risks.

Commercial support provided by Healthcare Provider Solutions.


Track(s)


Learning Objectives

• Describe the impact of no-pay RAPs on the revenue cycle process and cash flow management
• Define best practices for optimizing cash flow and limiting compliance risks through effective documentation and revenue cycle management
• Apply benchmarks to measure revenue cycle performance

Handout(s)



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