603. Home Health Top 5 Medical Review Denials and How to Avoid is proudly presented to you by National Association for Home Care & Hospice. Thank you. We hope that you enjoy your course.
Description:
Home Health Medical Review is escalating daily. Both the volume of audits as well as the negative results continue to affect more and more agencies. It is imperative agencies scrutinize their processes and identify any gaps in the gathering of and submission of clinical charts/documentation for medical review. Recovery Audit Contractor requests for records is on the increase and Targeted Probe & Educate is at an all time high. Agencies must protect their reimbursement.
Learning Objective 1:
Outline each of the current medical review contractors/programs & typical data that triggers review.
Learning Objective 2:
Define the process of gathering documentation, compiling the data and submission of the records to the review contractor.
Learning Objective 3:
Explain the Top 5 denials under Home Health Medical Review & best practices for avoid these denials.
Faculty:
Melinda Gaboury COS-C
Nursing 1.0 Contact Hours awarded.
Nursing Contact Hours for this module will expire on October 22, 2026.