Wayne, Pa. (July 25, 2018) McBee to present on how home care agencies can optimize revenue cycle spending and tips to addressing Zone Program Integrity Contractors (ZPICs) through ADRs and denials management at the Home Care Association of Florida’s (HCAF) 2018 Annual Conference and Trade Show on July 31.
Dawn Cheek RN, BSN, Clinical Consulting Senior Manager, will present “Are You Paying Attention to ADRs and Denials? Tips for Addressing Dastardly ZPIC Issues,” addressing the need for home health agencies to be prepared for audits at any given time with the rise of Targeted Probe and Educate (TPE). As agencies continue to focus on the new Quality Assurance and Performance Improvement (QAPI) and process improvement, this is an ideal time to be proactive on reviewing and educating staff on effective clinical documentation. This session stresses what is important to compliance—to ensure that records are clean if any future “look back” was to occur.
Michelle Stone-Smith, MBA, Senior Consulting Manager, will present, “It’s Clobbering Time: Optimizing Your Revenue Cycle Spend,” focusing on balancing reimbursement and administrative needs and realigning a revenue cycle department through software optimization, add-on software, process flow redesign, and/or outsourcing. Attendees will learn the importance of understanding current capabilities, budget, measurements, and accountability. This session identifies key strategies to optimizing revenue cycle budget.
Ms. Cheek has more than 30 years of experience in health care operations, including 12 years in management roles. She has a broad base of clinical compliance and documentation improvement for providers nationwide. She has expertise in utilization review processes and implementation of Medicare regulations for medical necessity and RAC preparation. For home health, she provides extensive knowledge of clinical operations, and home care and hospice documentation regulations. For hospice, she provides extensive compliance and medical record review experience with past eligibility review team member and with IRO engagements. Her nursing background, coupled with her leadership experience of front-line staff, allows her to effectively monitor patient care and agency compliance.
Ms. Stone-Smith is a health care leader with more than 24 years of technical and administrative health care experience in diverse, constantly changing environments. Her extensive background includes operational turnaround, strategic business planning, government contracting, finance, accounts receivable management, mergers, acquisitions, start-up operations, managed care compliance, risk management, and regulatory rate development. In addition to her post acute care leadership abilities, Ms. Stone-Smith also has experience working for a Medicare Intermediary, auditing provider claims for compliance and analyzing government contracts for operational requirements and cost reimbursement.
McBee is the nation’s premier independent health care services and consulting firm that delivers financial, operational, and clinical consulting services exclusively to healthcare providers across the continuum of care. For more than 40 years, McBee has designed services to ensure the success of clients by improving clinical, operational, and revenue cycle performance. Corporate headquarters is in Wayne, Pennsylvania. Additional offices are located in New York City, Columbia, Maryland, Richmond, Virginia, and Charlotte, North Carolina. Visit us at McBeeAssociates.com. Follow us on Twitter and LinkedIn.