Optimize Outcomes: Managing Avoidable LUPAs under PDGM
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OVERVIEW
Between navigating PDGM’s changes and managing the impacts of COVID-19, the past year has been one of the most challenging years in history for home health providers. Of these hurdles, PDGM’s subsequent 30-day period LUPA was anticipated to be the most challenging to manage for agencies, and 2020 data reflects this to be true.
Unlock the insight to deliver high-quality care and strategies for addressing avoidable LUPAs under PDGM. This webinar will examine the common trends that result in a subsequent 30-day period LUPA, discuss EMR strategies to help effectively manage LUPA billing periods for maximized financial outcomes and determine best practices in developing an effective plan of care to improve patient outcomes.
LEARNING OBJECTIVES
Examine the common trends in CMS PDGM claims data that resulted in a subsequent 30-day billing period LUPA
Establish ways to maximize EMR utilization for managing subsequent 30-day billing periods
Examine best practice strategies for creating an effective plan of care and managing subsequent 30-day billing periods
Carissa McKenna is a Senior Clinical Consulting Manager at McBee with more than 22 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. While specializing in performance improvement, Carissa is also experienced in managed care, health maintenance organizations, quality assurance, clinical documentation, integrated chronic care management, and education. She is experienced in both the home health and hospice survey processes, accreditation compliance, and Medicare regulations. While working with providers, Carissa has developed and implemented several clinical workflows, as well as documentation and quality assurance tools.
Catherine Bella is a Clinical Consulting Manager at McBee. Catherine has 25 years of experience in the health care industry with 17 years in the home health and hospice industry. As a clinical consulting manager with McBee she has been involved in many aspects of client fulfillment, including supervision of an OASIS and coding team, episode management, remote and onsite client education. Catherine currently manages several clients in episode management engagements, helping them to improve adherence to the established plan of care to ensure positive outcomes clinically, financially and operationally.
