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Palmetto GBA 2019 Workshop Series for Hospice and Home Health:
Tools for Medicare Success

Palmetto GBA is pleased to announce our 2019 Hospice and Home Health Workshop Series. These workshops are designed for hospice providers
and their staff to equip them with the tools they need to be successful with Medicare billing, coverage and documentation requirements.
These workshops will provide insight for hospice agency staff at all levels; however, we suggest that providers who are new to Medicare or
have new staff attend online learning courses for beginners offered at www.PalmettoGBA.com/hhh. Basic billing and other online educational
resources can be found in the Self-Paced Learning section by selecting the Learning and Education link under the Browse Topics option at the
top of the page. During the workshop series, Palmetto GBA will provide information related to the most common errors identified through a
variety of data analysis and some hints and tips on the reasons why these errors occur. Palmetto GBA’s ultimate goal is to have educated and
astute providers who know how to accurately and skillfully apply the information they learn to their documentation and billing practices.

A1 - Home Health Part I: Monday, April 29 | 10:30am-12:00pm B1 - Hospice Part I: Monday, April 29 | 1:45pm-3:15pm
D1 - Home Health Part II: Tuesday, April 30 | 10:45am-12:15pm E1 - Hospice Part II: Tuesday, April 30 | 1:30pm-3:00pm

The following topics will be covered during the workshop: The following topics will be covered during the workshop:

Part I: Part I:
1. Top Denials 1. Utilization
A. Certification/Plan of Care A. Length of Stay
B. Face-to-Face Encounter B. Medicare Spending
C. Medical Necessity
D. 56900 2. Improper Payments
2. Teaching and Training 3. Continuous Home Care
3. Screening and Documentation – Cardiovascular Patient 4. Effective Documentation of Certification of Terminal Illness
4. Medication Reconciliation 5. Documentation for the End State Renal Patient

Part II: Part II:
5. What You Need to Know for 2019 5. What You Need to Know for 2019
A. 2019 Home Health Final Rule A. 2019 Final Rule
B. Targeted Probe and Educate (TPE) B. Targeted Probe and Educate (TPE)
i. Responding to a TPE Additional Documentation C. Medicare Beneficiary Identifier (MBI) Updates
Request (ADR) D. Improvements in Hospice Billing and Claims Processing
C. Misuse of Requests for Anticipated Payments (RAPs)
i. eCBR - Home Health RAP Cancellations 6. Data Driven Topics
D. Enhancing the Verification Process of Common Working A. Election Statement Requirements
File (CWF) Part A Provider B. Hospice Transfers
Inquiries 7. eServices Online Portal
E. Medicare Beneficiary Identifier (MBI) Updates 8. Reminders
6. Data Driven Topics A. CERT Program
A. Reason Code 37253 – Why Did My Claim Return? B. Provider Enrollment Revalidation
7. eServices Online Portal 9. Provider Resources/Self Service Tools
8. Reminders A. Palmetto GBA Resources
A. CERT Program B. CMS Resources
B. Provider Enrollment Revalidation C. Top Links
9. Provider Resources/Self Service Tools
A. Palmetto GBA Resources D. Social Media
B. CMS Resources E. Education/Events
C. Top Links
D. Social Media
E. Education/Events

Charles Canaan, RN MaKisha Pressley-Callaham, Ed.D
Senior Provider Relations Senior Provider Relations
Representative Representative
Palmetto GBA Palmetto GBA

Presenter: Presenter:
Home Health Part I Home Health Part II
Hospice Part I Hospice Part II

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