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Emerging Trends in Pre-Claim Review (Webinar)

February 9, 2022 1:00 PM - 2:00 PM (EST)

Description

Home health agencies have had to evolve to accommodate the Review Choice Demonstration (RCD), in particular, Pre-Claim Review. Likewise, an evolution of sorts has occurred in the interpretations and practices of the medical reviewers. We will examine the recent trends that have emerged, review some examples and learn how to ensure that the documentation your agency is submitting will affirm quickly, now and in the future. 

Objectives:

  • Gain an understanding of the Pre-Claim Review requirements
  • Learn about what is new in the Pre-Claim Review process and what trends have emerged since Florida has begun participating in the program
  • Understand how best to manage the Pre-Claim Review process within their own agencies in an effort to improve turnaround time and affirmation success

Meet the Speaker

Kimberly Wilkerson, MBA, LPN, CHCE, COS-C, HCS-D
Consultant
SimiTree Healthcare Consulting

One might say that Kim Wilkerson essentially "grew up" in home health, having spent almost her entire adult life working in it. After working for a few years for other companies, she managed to scrape together $5000 for an initial payment for a 5 patient census home health agency outside of Houston. She sold the agency in 2007 after increasing it to a census of over 500 patients in three offices. After "retiring" to Key West in 2008, she then successfully opened a new agency in an area where there had only been one agency for over 25 years. She then sold that agency in 2017. Through these acquisitions, she has seen the good, the bad, and the ugly and learned from it all. Active now in consulting, focusing on due diligence and compliance, she is a wealth of practical knowledge for anyone needing advice from someone who's "been there".

Continuing Education

We hope to provide 1.0 continuing education units for skilled nursing, occupational therapy, and speech therapy.

Program Sponsor

HCAF offers a multitude of ways for home care industry vendors to promote their products and services, including education program sponsorships. Explore the benefits of sponsoring this or another program or contact us for more information.

Time

Login at 12:45 PM ET

Pricing

Register online or call (850) 222-8967 to register by phone. HCAF members receive a discounted registration rate! To obtain the member discount, please log in to your profile before registering. Registration fees for this program are as follows:

• Certified Members: $29
• Associate Members: $29
• Private Duty Members: $43
• Prospective Members: $58

Please log in to the program at least 15 minutes prior to the start time. Additional logins will be charged an additional registration fee. By registering for this event, you are agreeing to our payments, cancellation, and substitution policies.

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Contact Information

HCAF
Name: Julia Thompson
Phone: (302) 670-4980
Email: jheath@homecarefla.org

Register online or call (850) 222-8967 to register by phone.

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