December 11, 2013: Discharge Planning and Care Coordination: Tips for Medicare Advocates, Presented by Attorney Alfred Chiplin and Ellen Lang, RN, MPH
On May 17, 2013, the Centers for Medicare & Medicaid Services (CMS) provided additional guidance for enhancing the discharge planning available to Medicare beneficiaries, clarifying the roles of hand-off and receiving care settings, and provided suggestions for making care transitions, and care coordination across care settings more robust. In addition, the Affordable Care Act (ACA) introduced a number of quality of care and payment measures that give additional vitality to Medicare discharge planning as an activity and resource for improving health care outcomes for Medicare beneficiaries. This webinar will discuss key features of Medicare’s expanded guidance on discharge planning and highlight provisions of the ACA that can be used as tools to help beneficiaries obtain the discharge planning and care coordination services they need.
February 12, 2014: Tackling the Medicare Face-to-Face Requirement for Home Health, Presented by Attorney Wey-Wey Kwok
Since its implementation in 2011, the face-to-face encounter requirement (F2F) has created confusion among home health agencies, physicians, and other parties involved. Recent analysis shows a continuing increase in claims denials related to documentation for the F2F encounter, which has likely had a negative impact on patient access to home care.
This CMA Webinar will discuss guidelines for satisfying the Medicare F2F requirement, including:
- Who may perform the F2F encounter
- Who may certify the F2F encounter
- What is considered sufficient and insufficient F2F documentation
- Issues around timing, format, and communication
April, 2014: Practical Tips for Arguing Your Case Before Administrative Law Judges (ALJs), Presented by Senior Attorney Mary Ashkar and Senior Attorney Terry Berthelot
The purpose of this webinar is to review the Administrative Law Judge (ALJ) hearing process and to provide practical tips for presenting a case in a concise and persuasive fashion. Guidance and advice will also be given to help respond to a number of challenges in the process to maximize your chances of presenting a convincing case. The webinar will be useful for attorneys, providers or suppliers, and beneficiaries representing themselves in a Medicare appeal. Specific areas that will be covered include:
- Pre-hearing Procedures
- Requesting an ALJ hearing;
- Receiving and responding to the Notice of Hearing;
- Communicating with the ALJ;
- Developing the case and submitting information for the hearing;
- Receiving and reviewing the exhibit list.
- Hearing Procedures
- Presenting the evidence to the ALJ;
- Using witnesses to help your argument.
- Post-hearing Procedures
- Keeping the record open to submit additional evidence
- Receiving the written decision from the ALJ
- Requesting a Medicare Appeals Council Review
We now offer recordings of Center for Medicare Advocacy Webinars and other trainings.
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