ExpiredProbe Your Data & Educate Your Staff

  • September 28, 2016
    3:00 pm - 4:30 pm

Since the implementation of the Home Health Face-to-Face Requirement in 2011, home health agencies and their staff have been in constant turmoil about how to meet this ever-changing requirement that depends heavily on physician documentation.  After nearly five years of struggling to understand and comply with this requirement, denial rates or home health claims due to insufficient documentation of Face-to-face continue to remain at an average of 50% of claims receiving medical review nationwide.

….But there IS light at the end of the tunnel, and it is not due to the train coming at us!  Clarifications throughout 2015 and the ability to have home health agency records included in the documentation considered to support Medicare home health eligibility criteria have given home health agencies improved opportunities to tackle this issue head on and win the battle and the war for payment of home health claims.

The Probe and Educate initiative has been another painful experience, but it has yielded information that can help home health agencies ensure they receive payment for their home health claims. The key is in probing our own documentation and educating our staff in   documentation that will slay the certification/recertification dragon!


  1. Cut through the clutter of past directions to clearly define the current face-to-face requir
  2. Provide examples of actions and focused documentation that can work to meet face- to-face requir
  3. Clearly identify the requirements necessary for certification and recertification of home health ser
  4. Discuss examples of actions and strategies to demonstrate support for home health certification and recertification requir
  5. Strengthen support for Medicare eligibility and medical necessity through probing our documentation to search out the problem areas and then educate staff on how to avoid past inadequate documentation
  6. Identify strategies to help your agency survive medical reviews with positive r



About the Presenter:

Judy Adams, RN, BSN, HCS-D, AHIMA Approved ICD-10-CM Trainer, Adams Home Care Consulting, Inc. is a well-known health care consultant and speaker with over 30 years of healthcare experience and extensive experience in home care and home health management. Judy frequently speaks nationally on home health coverage; coding; HH COPs; PPS and medical review.

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