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OVERVIEW

The Office of the Inspector General (OIG) is cracking down on improper home health billing practices by instructing CMS Medicare Administrative Contractors (MACs) to target claims with visits at, or slightly above, the applicable LUPA threshold for additional review. Based on recent findings reported in this OIG audit, lack of clinical documentation supporting homebound status and medical necessity were leading causes of improper payments.

It is more critical than ever to ensure your clinical documentation reflects patients meeting criteria to be on service. In this webinar, we’ll take a deep dive into what you need to know for achieving comprehensive, timely clinical documentation that meets regulatory requirements and lays the foundation for quality care delivery.

LEARNING OBJECTIVES

  • Understand the importance of accurate clinical documentation in achieving regulatory compliance and reducing denial risk
  • Learn in-depth, best practices for documenting homebound status and medical necessity
  • Use expert-created scenarios and examples to help engrain effective strategies for documenting compliant homebound status and medical necessity

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 18 years as a registered nurse and 15 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.

Carissa McKenna, RN, BSN, COS-C, HCS-D
Senior Clinical Consulting Manager

Carissa McKenna is a Senior Clinical Consulting Manager at McBee with more than 21 years of experience in the health care industry. In her role at McBee, she has been involved in many aspects of client fulfillment, including OASIS and coding, episode management and on-site education. Carissa currently manages several clients in episode management engagements, helping them to improve adherence to the established plan of care to ensure positive clinical, financial and operational outcomes.