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Audits & ADR/TPE: How to Approach & Successfully Maneuver Through the Process(Webinar $149*)
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Audits & ADR/TPE: How to Approach & Successfully Maneuver Through the Process(Webinar $149*)
Audits & ADR/TPE:  How to Approach & Successfully Maneuver  Through the Process(Webinar $149*)

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11/17/2020

When: Access Live or On-Demand
12:00 - 1:30 PM Arizona
Where: Webinar
  
United States
Contact:

Phone: (406) 442-2585

Details

For More Info or to Register, click here.

Available as a live or on-demand webinar.  
AHPCO Members enjoy a $200 discount on the pricing.

 

The healthcare industry is experiencing decreased acute care and increased referrals and CMS expenditures for hospice programs. Increased expenditures bring additional oversight of the post-acute care industry and more ADR/TPE audits. Avoid the scrutiny with industry-standard best practices and identify areas of oversight risk. Defining and reviewing the Additional Document Request and Targeted Probe & Educate process is a good place to start. 

This webinar will teach you to identify the different types of government audits and oversight and determine whether to appeal a denied government claim. You’ll study the steps required to effectively submit documentation and win an appeal. Learn which data points are important, what can trigger additional oversight, and common reasons for claim denial. Discover how to implement best pr

 

Highlights

  • Define fraud, abuse, and the different types of government audits
  • Distinguish between payment-related oversight and oversight related to patient safety and quality-of-care issues
  • Explain the Additional Document Request (ADR)/Targeted Probe & Educate (TPE) process and agency responsibilities
  • Identify and decrease risk
  • Define what is required to minimize audits and ADRs/TPE
  • Determine whether to appeal a denied government claim

Take-Away Tool Kit 

  • Medicare Program Integrity Guide

  • Links to:

    • CGS ADR/TPE process handout

    • Fiscal Intermediary Standard System (FISS) Direct Data Entry (DDE) Guide

    • myCGS Medical Review User Manual

    • Hospice documentation audit tool

  • Additional valuable websites and tools

Who Should Attend

This informative session is excellent information for all agency personnel, including administrators, finance staff, clinical managers and supervisors, QAPI team members, medical directors, board members, liaisons, and intake personnel.

 

Presenter(s)

Kathy Ahearn, RN, BSN, PHN, Ahearn Advisement Partners 
Kathy Ahearn has a Bachelor’s in both Nursing and Social Work, and owns Ahearn Advisement Partners.  With over 30 years working and serving the healthcare community the combination of nursing and social work has served her well.  She has worked in a variety of post-acute care settings with an emphasis on home health and hospice, home infusion, homecare, and skilled nursing as a PICC and compliance expert.  Kathy has a unique ability to identify agency challenges and opportunities, quickly providing education, support, and mentoring to organizations, guiding them to a new level of operation.  

Kathy helped develop pain scales to standardize assessment with the American Pain Society and the Joint Commission, which lead to identifying pain as the 5th vital sign.  She was a trailblazer in the retail pharmacy world introducing the Joint Commission to the retail setting for disease state accreditation and reimbursement.  In addition to developing manuals and policies, Kathy expanded into medical device as a Managed Care Director developing one of the first real-time cloud-based disease specific software programs to assist patients, clinicians, and managed care organizations improve outcomes and collect data.  

Kathy began healthcare work due to a disabled parent and later a child living with chronic disease state.  She has experienced healthcare professionally and personally, dedicating her life to it and to working as a change agent for the betterment of all served.


Registration

   AHPCO Members
 Live Version or Archived** Version  $149
 Both Live and Recorded  $179

Non-Members add $200 to the above pricing.  Not a Member? Join Today!

**The archived version is a recording of the live webinar, including audio, visuals, and handouts. Includes the presenter’s email address for questions. The Archived Version is available 1 week after the Live Webinar and expires 6 months after the live program date.

 


 
 

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