Putting Together the PDGM Puzzle: January 21-22, 2020 (8:30 am- 4:30 pm)
Course Info:
PDGM is the single biggest challenge for home health agencies in 20 years. The last major payment change was in 2000 and 30% of agencies didn’t survive that transition. Texas agencies are also coping with the Review Choice Demonstration on top of PDGM – even though there are no new regulations, the timing and submission requirements will place additional pressure on your organization’s processes and people!
Join Selman-Holman to learn how to put together the puzzle pieces to power through the transition to the new Patient Driven Grouper Model. Topics will include:
- Coding for PDGM – learn how primary and secondary diagnoses will drive payment under PDGM; acceptable primary diagnosis codes and how to cope with diagnoses that will not be allowed; the query process to verify diagnoses that aren’t supported by the provider’s documentation; and tips to insure your coding processes are ready to meet the timing requirements for PDGM and RCD.
- OASIS and PDGM – review the OASIS items used to calculate the functional score in the PDGM equation, with tips for accurate assessment and data collection; update with the changes coming for OASIS-D1; and discuss how the OASIS timepoints (especially the ROC and Other Follow-up) will influence the PDGM payment.
- Managing LUPAs in 30 day payment periods; Operational processes for the RAP, the claim and OASIS transmission
- Review Choice considerations – meeting the criteria for the F2F documentation and more
- Case Management to thrive under PDGM
Continuing Education:
13.0 Nursing Contact Hours
13.0 Administrator Hours
10.0 HCS-D Hours
5.0 HCS-O Hours
Selman-Holman & Associates, LLC is an approved provider
of continuing nursing education by the Texas Nurses Association, an accredited
approver by the American Nurses Credentialing Center's Commission on Accreditation.
Presenter: Lisa Selman-Holman, JD, BSN, RN, HCS-D, COS-C, HCS-O, HCS-H
• 30 years in home care as a RN and Attorney practicing exclusively in
home care
•Owner of Selman-Holman & Associates, LLC & CoDR-Coding Done Right
•Home Care Coding Specialist-Diagnosis (HCS-D) national advisory
board for the Board of Medical Specialty Coding and Compliance
(BMSCC) Board HCS-O for OASIS Competency
Selman-Holman Seminars Refund Policy (only applies to seminars put on by Selman-Holman & Associates)
Fourteen (14) days or more before scheduled seminar date = 100% refund
Thirteen (13) to seven (7) days before scheduled seminar date= 75% refund or credit
Six (6) days or less before scheduled seminar date= No refund or credit