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| Agencies are often blindsided with additional documentation requests (ADRs) and claim denials, despite high marks on surveys. That’s because they are auditing from accrediting guidelines, not CMS triggers. |
 Hear directly from a former state/CMS Region IX OASIS coordinator and a former regional director who facilitated multiple successful Joint Commission accreditation surveys.
Our expert presenters, Michael McGowan and Kristi Bajer, will teach you about the top triggers CMS uses when it examines your agency’s OASIS submissions — and how you can avoid being a target. You’ll also learn the importance of the Conditions of Payment.
With on-demand webinar access, your entire team will be able to: - Understand why a good survey does not protect you against audits
- Learn how to stop confusing a billing audit with a QAPI program
- Prepare for success in advance of CMS' proposed claim review demonstration in five states (Florida, Illinois, North Carolina, Ohio and Texas)
- Consider the importance of using data to drive patient care
- Learn how compliance will improve your QAPI program and patient outcomes
- Understand that while agencies might be focused on complying with the revised Home Health Conditions of Participation, they also must understand the importance of the Conditions of Payment
Order this on-demand webinar today and learn how to stop confusing a billing audit with a QAPI program. |
Meet our Expert Trainers
 Michael McGowan, a former state/CMS Region IX OASIS coordinator, is a longtime homecare consultant. He is currently president of OperaCare in Socorro, N.M. OperaCare utilizes proactive OASIS analytics and systematized processes to exploit the entirety of home health payment models — establishing financial predictability, eliminating after-hours charting, minimizing additional documentation requests (ADR) and audit risks, and monitoring OASIS outcomes. McGowan is a regulatory expert in ZPICs, ADRs and medical review.
 Kristi Bajer, BSN, RN, started in homecare as a registered nurse case manager. Over the last 10 years, she has been a director of nursing, an administrator, and most recently a regional director over six agencies in Texas. As a regional director, she facilitated multiple successful Joint Commission accreditation surveys, including surveys without citations or recommendations. Bajer helped design programs for the top DRGs in her service area, drastically decreasing readmissions and increasing referrals. Today, she assists agencies with external chart audits and Medicare appeals, as well as providing training and coaching on OperaCare.
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