Top Hospice Claim Risk Areas Teleconference
Date & Time
March 21, 2018 @ 10:00 am - 11:30 am
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 or Social Worker CE’s.
Please use your Federal Medicare Number for your membership ID number.
Registrants will receive the website link and call in information after registering.
Price is based on the use of one line per hospice. For additional lines contact the MHPCA office or register as a separate registration.
This is an intermediate level course.
This teleconference will be recorded. If you are not able to attend on the day of the teleconference please register like you are attending and MHPCA will send you the recording.
This program provides 1.5 MO Nursing Contact Hours. This program provides 1.5 Social Worker Hours. All Social Workers must complete a post test and return to MHPCA via fax (573-635-0659) or email to firstname.lastname@example.org to receive SW CE hours. Participants from Missouri interested in credit hours should indicate on the sign in sheet from each hospice their desire to receive credit hours. There will be an additional $10.00 per person for contact hours. Please make checks payable to MHPCA (P.O. Box 105318, Jefferson City, MO 65110) with a copy of your sign in sheet to receive credit for participants. All participants wanting CE credits must sign the sign in/sign out sheet, fill out an evaluation, complete a post test (Social Worker’s only) and return to MHPCA at the end of the Live Interactive Teleconference via fax (573-635-0659) or email to email@example.com. The certificate will be generated and sent to the contact on the sign in/out sheet via email with in 5 business days. If you have any questions or concerns please contact crystal at firstname.lastname@example.org.
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.
“Missouri Hospice and Palliative Care Association, #1359, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org, through the Approved Continuing Education (ACE) program. Missouri Hospice and Palliative Care Association maintains responsibility for the program. ASWB Approval Period: 2/28/2017 – 2/28/2020. Social workers should contact their regulatory board to determine course approval for continuing education credits.
Social workers participating in this course will receive __1.5__ continuing education clock hours.”