Axxess | Home Health Medical Reviews: The Basics And How To Prepare

Gateway Home Health Coding & Consulting, LLC Senior Consultant Joe Osentoski, BAS, RN-BC, gives an inside perspective on what home healthcare and home care organizations should look out for in medical reviews.

Care at home professionals will get insider tips on:
- Common triggers for Medicare reviews, audits and probes
- What an ADR is and what reviewers typically look for
- Which new home health regulations may change the medical review process
- Best practices to improve clinical quality and regulatory compliance
- How an intuitive electronic medical records (EMR) software can help defend a client going through medical review

Interview Question Breaks:
00:00 Introduction
00:17 What's your focus as a home health consultant?
01:38 Do all organizations eventually deal with medical review?
02:12 What can trigger a medical review?
05:13 What are the most common medical review reasons you are currently seeing?
07:21 What is an ADR?
08:47 What are reviewers looking for?
11:21 How will medical reviews change with new regulations?
15:17 Can you compare paper versus EMR in your line of work?
16:51 What has been your experience working with Axxess EMR clients?

About Joe Osentoski, BAS, RN-BC:
With more than two decades of experience as a registered nurse and an industry consultant focused on clinical quality assurance and regulatory compliance, Osentoski has completed more than 5,000 additional development requests (ADRs), filed thousands of appeals and attended hundreds of Administrative Law Judge (ALJ) hearings on behalf of clients. He is also a contributor to industry newsletters Home Health Line and Eli’s Home Care Week and an author of the book “The ADRs and Appeals Handbook,” First Edition, from Decision Health. He is currently a senior consultant at Gateway Home Health Coding & Consulting, LLC.

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