Clinical Compliance: Best Practices to Minimize Risk

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OVERVIEW

Home health and hospice organizations continue to face strict regulatory scrutiny and oversight from Center for Medicare & Medicaid Services (CMS) and the HHS Office of the Inspector General (OIG) to prevent fraud, waste and abuse. The ongoing importance of effective clinical compliance and risk management is amplified as agencies navigate through changes to the reimbursement and regulatory landscapes. Learn from your peers the best approaches to elevate auditing to a highest level to prevent risk. Gain insight into practical methods for initiating and maintaining a clinical compliance program, including auditing, monitoring and reporting to minimize risk.

LEARNING OBJECTIVES

Discover home health and hospice compliance risk areas, including OIG focus areas for 2021 and 2022
Learn best practice approaches to creating and maintaining an effective compliance audit program
Understand how to leverage pre-bill audits to identify and reduce risk and take-away key recommendations for building a pre-bill checklist

SPEAKERS

Arrica Canty, RN, BSN, CCM, LNC
Senior Clinical Consulting Manager

Arrica Canty, RN, BSN, CCM, LNC is a Senior Clinical Consulting Manager at McBee. She has more than 20 years of experience in healthcare, with over 20 years as a registered nurse and 17 years in home health. Her contributions to the healthcare field include experiences in home health, hospital, and academia environments. She has a broad base of consulting and operational experience for home health, quality management, utilization review/management and case management, and medicolegal realms.

Dee Geray, RN
Senior Clinical Consulting Manager

Dee Geray, Senior Clinical Consulting Manager at McBee, has more than 30 years clinical and operational experience, including 6 years of military service and 20 years of hospice experience in a variety of roles with not-for-profit, for-profit, independent and corporate structured environments. Her expertise includes operationalizing CMS regulatory requirements, providing compliance and due diligence oversight, and implementing best operational and clinical practices. Dee works with hospice providers and investment firms nationwide on several project scopes and oversees a team of consultants who perform audits that include billing compliance reviews, state and accreditation survey plan of correction support, pre and post-claim reviews, mock surveys, and appeal support. She has presented in both State and National conferences on current hospice topics and industry trends.