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| Hear directly from a former state/CMS Region IX OASIS coordinator and a former regional director who facilitated multiple successful Joint Commission accreditation surveys. |
Join us for a one-hour comprehensive webinar and learn how to stop confusing a billing audit with a QAPI program. 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.
Webinar Agenda: - Analyze the many things agencies do that trigger ADRs from CMS contractors
- Examine what language to avoid documenting because it will serve as a target for claims reviewers
- Review what reports to investigate to determine whether your agency may be a target for claims reviewers — and learn what to look for within those reports
- Describe how to make objective, consistent OASIS submissions
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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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