NGS Trends in Medical Review and How to Prepare Your ADRs

• Attendees will learn the most common reasons medical reviewers deny claims submitted by California hospices.
• Participants will recognize their own patient-record vulnerabilities and how to avoid claim denials for the most common reasons.
• Engaged learners will be ready to prepare patient records for ADR response according to medical reviewer preferences, increasing the chance of reviewers finding everything needed to identify payable claims rather than denying payment for claims.

Meeting the Presenter:

Beth Noyce, RN, BSJMC, COS-C is a Home Health and Hospice Consultant, mentor, educator and regulatory master who helps agencies know when they are at risk and works to keep them out of trouble.

Beth is former Executive Director of Utah Hospice and Palliative Care Organization and Utah Association for Home Care and served as a Medicare Administrative Contractor medical reviewer. She served on the Hospice Quality Subcommittee for The National Alliance for Care at Home and NACH’s Hospice Advisory and Advocacy Boards. She is also a member of CGS’ Hospice and Home Health Provider Outreach and Education (POE) Advisory Groups. Beth has presented for multiple conferences nationwide and does webinars for multiple entities. She also teaches her own expert seminars, workshops and webinars. She’s consulted for many consulting groups and individual agencies nationwide and has audited countless patient records and worked on numerous appeals. Beth edited and wrote study guides and questions for industry coding and compliance certification exams for AHCC and for CHAP, published in Diagnosis Coding Pro, and edited a Diagnosis Coding Manual.

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