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Part 1: Conditions for Payment – You do want to keep your monies, don’t you?
This session will outline and detail specific methods, backed up by regulatory references that can ensure your hospice bills accurately for the care you plan and provide. The emphasis will be on how to ensure that the clinical activities including eligibility criteria and on-going documentation requirements such as the face to face encounters, the physician narratives, and necessary orders for changes in condition are included in the billing audit procedures. The speaker will also include information you need to know about transfers to and from your hospice, billing for contracted physicians, inpatient and respite stays and conditions for payment. This discussion will include principled practices that must be included in a hospice’s billing policies and procedures in order to mitigate possible implications of fraud and abuse.
Part 2: Hospice Financials – The Three Cs to Consider: Cost Reports, CAPS, and Consequences
In this session, our expert will provide specific information about cost report details that impact the hospice industry’s outlook, future rules and regulations, and, ultimately, payment. The hospice provider will learn about specific key data points that will reflect the hospice’s true and accurate expenses and tips on how best to collect that data for reporting. Additionally, the speaker will address how to report and evaluate the hospice CAP issues that have garnered the OIG’s attention and discuss the consequences the proposed MedPac changes and OIG recommendations would have on the Hospice industry.