OASIS Alert

Published on Mon Jul 01, 2013 PDF

Plus, catch up on reimbursement updates and requirements

You can receive vital information on these topics from the comfort of your own office:

• ARRA, HITECH, and HIPAA — The HIPAA Omnibus Update Means New Rights for Patients and New Restrictions on Providers. Thurs. July 11, 1 p.m. ET. The law now requires HHS to conduct a regular HIPAA compliance audit program — not just audits caused by complaints or reported breaches. The new audit program is already underway and being expanded in 2013. HIPAA expert Jim Sheldon-Dean will take you through the new regulations and their effects on usual practices. You will learn what policies and evidence you need to produce if you are audited by the HHS Office for Civil Rights. And you will get a rundown on the process to be used in determining whether or not a breach is reportable, how the new regulations change the way individuals have access to their records and much more. For more information, go to www.audioeducator.com/hipaa/hipaa-updates-071113.html or call 1-866-458-2965.

You also can order recordings or transcripts of these recent audio conferences:

• Rules of Engagement — Getting Back to Basics: Conditions of Participation (Part 1). With the first batch of alternative sanctions for noncompliance with Medicare COPs beginning July 1, you need to understand COP basics. Clinical and regulatory expert Arlene Maxim will explain the critical need to understand each COP and the impact of misunderstanding the basic foundation upon which home care is based. For more information, go to www.audioeducator.com/home-health/cops-compliance-070213.html or call 1-866-458-2965.

• Use of M1024 on Home Health Reimbursement in 2013. The changes in M1024 this year have had a marked impact on home health agencies. While agencies are still able to receive the higher reimbursement for skin one, diabetes and neuro one replaced by a V code in M1020, the sequencing of codes is very important. Expert speaker Judy Adams discusses the pairing and sequencing of V codes with case mix diagnoses in M1020 and M1022, the definition of resolved diagnoses, and the added importance of capturing all of the other relevant co-morbidities as well as accuracy in all other OASIS case mix items, and more. For more information, go to www.audioeducator.com/coding-updates/use-of-m1024-on-home-health-reimbursement-in-2013-022613.html or call 1-866-458-2965.

• Coding and Documentation Vital to Your Home Health Claims. Every home health agency wants to submit a compliant claim to Medicare for payment. But in your haste to get the bill out the door and reimbursement in the door, are you triggering red flags that could result in denials? Find out from nurse consultant Ann Rambusch how codes, OASIS M items, failure to adequately document the physician face-to-face encounter, skilled services, homebound status, and the focus of the plan of care can lead to claim denials — and how to avoid them. For more information, go to www.audioeducator.com/home-health/coding-and-documentation-for-home-health-021913.html or call 1-866-458-2965.

Note: To browse and register for Eli home care and hospice audioconferences, go to www.audioeducator.com and select the “home health” or “hospice” tabs in the top bar. Or call 1-866-458-2965. Sessions are available via recording or transcript after taking place.