Reducing the Risk of Clinical Claims Review Denials by Managing Live Discharges

Posted on March 29, 2023

Date/Time: 03/29/2023, 12:00 pm

Provider: FHPCA

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Proactively reduce clinical claims review denials with this timely, informative webinar.

Ensure you have a thorough understanding of hospice clinical eligibility to refine oversight and documentation. This training will emphasize best practices and clarify guidelines on managing live discharges to minimize denials and guarantee compliance.

AFTER THIS WEBINAR YOU’LL BE ABLE TO:

Recognize the current claim review trends and climate
Understand CMS expectations and MAC interpretations around hospice clinical eligibility
Improve existing activities to better manage your patient eligibility without adding work burden to your frontline team members
Implement new processes to refine eligibility oversight and documentation, and decrease claim denials
Explore best practices for identifying, reviewing, and discharging patients whose disease trajectory no longer follows the anticipated terminal course
Effectively oversee your patient population to ensure compliance with hospice eligibility requirements

WEBINAR DETAILS

Many hospices are facing Medicare claims audits such as TPE, ADR, SMRC, etc. and receiving clinical denials. This session will review what these clinical denials look like and explore how to reduce the risk of claim denials through effective oversight of your patient population. It will clarify how the MACs are applying the hospice eligibility guidelines and define best processes to manage patients whose terminal illness stops following the anticipated trajectory.

THIS WEBINAR WILL BENEFIT THE FOLLOWING AGENCIES:

Hospice

WHO SHOULD ATTEND?

This informative session is designed for executive leadership, clinical managers at all levels, registered nurses, social workers, business development team members, and hospice physicians.

TAKE-AWAY TOOLKIT

Interdisciplinary patient review process and template
Live discharge management tools
Eligibility process/protocol and review tools
Free one-hour consultation with the speaker regarding the application of the presentation content and materials
Training log
PDF of slides and speaker’s contact info for follow-up questions
Attendance certificate provided, however there are no pre-approved CEs associated with this webinar

NOTE: All materials are subject to copyright. Transmission, retransmission, or republishing of any webinar to other agencies or those not employed by your agency is prohibited. Print materials may be copied for eligible participants only.