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CMS’ probe-and-educate review poses a big hurdle for home health agencies. Early data shows the probe-and-educate review’s first round resulted as many as 97% of ALL agencies failing – with nearly two-thirds of denials due to face-to-face documentation issues. The challenge of not passing Round 1 offers an even more daunting next step – passing Round 2.
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 | Meet the Speaker Cheryl Adams RN, BSN, MBA, HCS-D, COS-C, administrator, At-Home Health Care, Sparta Community Hospital, Sparta, Illinois Cheryl Adams RN, BSN, MBA, has 37 years of clinical nursing and health care executive experience. She has been the administrator of At-Home Health Care of Sparta Community Hospital since its inception in 1996. She is responsible for developing, implementing and sustaining the business plan for the hospital-based agency. Under her direction, the agency has a history of multiple deficiency free surveys, a reduction in acute care hospitalization rate, improved patient satisfaction and implementation of a telehealth program. During Illinois’ pre-claim review, Adams’ agency has thus far achieved a 100% affirmation rate. Adams is also credentialed as a Home Health ICD-10 Coder and OASIS Specialist. | ||
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| customerservice@decisionhealth.com | 855-CALL-DH1
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