Event: Top Hospice Claim Risk Areas Teleconference
March 21st, 2018
Katie Wehri, BSBA, CHPC
Director of Operations Consulting, Healthcare Provider Solutions, Inc.
Wehri is Director of Operations Consulting for Healthcare Provider Solutions, Inc. (HPS) She joined HPS in 2017 to develop and provide hospice and home care educational opportunities, conduct operational reviews and work with the HPS clinical team on mock surveys and chart reviews.
Wehri, with more than 25 plus years in the hospice, home health, private duty and palliative care industries and is certified by the Health Care Compliance Association in health care compliance and health care privacy compliance. She has worked with multiple state and national associations to expand assist members with Hospice regulatory, operations, financial and legislative issues. She has written numerous articles and provided workshops and seminars for these associations. A graduate of Bowling Green State University, Wehri received her Bachelor of Science degree in Healthcare Administration. Wehri spent 16 years working with homecare and hospice agencies with the majority of those years in a Director’s role, prior to starting a consulting practice in 2009.
Wehri has been consulting, presenting and educating in the home care and hospice industry since 2009. She has worked for hospices in a variety of settings, including multiple locations in multiple states, a hospice inpatient unity, pediatric hospice and adult and pediatric palliative care. Wehri has gained valuable experience in the following areas:
- Accreditation standards interpretation *Compliance and quality assessment
- Mock surveys
- Health care regulation
- Performance Improvement
- Opening and expanding sites for home care, hospice and palliative care services
The risk for payment of hospice claims increased significantly with CMS’ implementation of targeted probe and educate. This webinar briefly reviews the targeted probe and educate model and delves into stated and potential hospice target areas, how they impact operations and preparation and response plans, as well as what is expected to be in every hospice medical record to support the claim. Topics covered include long lengths of stay, criteria for general inpatient care, proper use of Q-codes, certification of terminal illness and election statements.
- Know the basics of the targeted probe and educate model and understand its potential impact on a hospice
- List the current targeted probe and educate topics
- Understand where to look for and how to anticipate potential future topics
- Explain which CMS contractors may request records
- Recognize the two essential documents for every medical record review (election statement and certification of terminal illness) and their required components
- Review suggestions to employ to minimize claim risks
The price for this Teleconference is $80.00 for members and $100.00 for non-members.
A late fee of $20.00 will apply after March 2, 2018.
Please use your Federal Medicare ID for your membership number.
No refunds but substitutions are welcome.
There will be a $10 fee for Nurses CE’s.
Missouri Hospice & Palliative Care Association is an approved provider of continuing nursing education by the Midwest Multistate Division, an accredited approver by the American Nurses Credentialing Centers Commission on Accreditation.