Presented by Michael Tidd
Thursday, February 6, 2020
Several clients and agencies have raised questions and expressed confusion about PDGM processes. We will share questions that have been received and my responses to these questions to aid agencies in their continuing efforts to implement PDGM.
Understand the transition between the 1st and 2nd 30 day claim periods
Discuss the requirements for the order and timing of the 1st claim final claim and 2nd claim’s RAP
Verbal requirements for orders leading up to the 2nd 30 day claim period
Understand visits within the 60 day episode and how they affect the 30 day claims
Understand LUPAs and the thresholds between the 30 day claims
Michael Tidd has over 19 years of experience in the Home Care Industry and is a frequent speaker at HealthCare Synergy Workshops and Webinars. He is a Software Developer, LVN and Certified in ICD-9/10 Coding and OASIS (COS-C, HCS-D). As the Clinical Manager for HealthCare Synergy, he directs the Outsourced Management Services, assists in directing the development of the Healthcare Assistant Web Edition, oversees the Clinical Documentation Auditing provided to clients and directs the Clinical Form Development for the Healthcare Assistant Web Edition. Michael continues to educate agencies in the ongoing regulations that CMS produces, the proper application of the Medicare Conditions of Participation and completing timely, accurate and defendable clinical documentation to survive in the current Medicare Reimbursement Model.