Many of us in the home care industry continue to diligently work for a delay or repeal of the Pre-Claim Review Demonstration (PCR). However, as we continue to work toward that goal, providers must also fine-tune internal processes to be spared much of the pain and suffering that has occurred in Illinois.
Before PCR kicks off in Florida on April 1, the Home Care Association of Florida invites Medicare home health care professionals to attend a local,
half-day, in-person workshop to get ready for what’s on the horizon.
We cannot stress enough that this program is not an overview and is not for beginners who have not already started to prepare for PCR. This event has been designed to act as a tool for the analysis and tweaking of the processes you have already established.
PCR was created to reduce fraudulent health care expenditures by requiring third-party contractors to ensure claims are valid before submission of final claims. Lack of education for providers and physicians, confusing submission procedures, and administrative burdens have hurt providers and patients alike, yet no evidence supports that the PCR is achieving its goals.
Industry advocates will continue to work feverishly to delay/repeal PCR, but providers cannot be complacent and assume the program will not take effect in Florida on April 1! Join us in March so that you can know without a doubt that you are ready, or learn what needs to be done so that you will achieve affirmation rates greater than 90 percent right from the start!
- This workshop is not for beginners and will be different from previous training sessions. Content will give agencies practical information related to internal processes that have been successful in Illinois.
- This workshop will help shorten the inevitable PCR learning curve and help providers run more smoothly and become more profitable.
- Together, an Illinois provider and a consultant who have worked with a variety of additional Illinois providers will both present and speak to their own real-world experiences, sharing how their best practices helped them survive the PCR rollout and now helps them run their agencies far more efficiently.
Meet the Speakers
Arlene Maxim • QIRT (Quality In Real Time)
Arlene Maxim currently holds the position of Vice President of Program Development for QIRT (Quality In Real Time), based in Floral Park, New York. She has been in home care since 1979 and has been a home health care consultant since 1986. Drawing on her strong clinical background, she has served in various capacities from home care administrator to home care agency owner and home care consultant. She has designed and implemented management and educational programs for non-profit, hospital-based, and for-profit, certified home care agencies.
Maxim is a sought-after speaker for educational programs related to OASIS, coding, clinical documentation, home care start-up, and a variety of other topics. She has been involved in expert witnessing for Michigan’s Medicaid Post-Payment Review Division and has served as an expert home care industry witness in state and civil lawsuits.
Maxim is vice chair of the Association of Home Care Coding and Compliance (AHCC), as well as a certified Community Health Accreditation Program (CHAP) consultant. She is a frequent contributor to multiple national publications including Success Magazine, Eli’s Magazine, Eli’s Homecare Journal, Home Health Line, and Hospital and Homecare. Maxim is the author of The Survey Trainer.
Marvin Javellana • Better Care Home Health
Marvin Javellana is a home health care provider who understands the issues confronting providers and the technology companies that support them. Leveraging his expertise and background in information technology, Javellana began his home health career in the early 2000s as a consultant to agencies. In 2009, he co-owned a mid-size agency in Illinois before joining Better Care Home Health, a startup Joint Commission-accredited agency, in 2011.
Now, as co-owner and CEO of the agency, Javellana has significantly grown its referral rate using a back-to-business and strategic marketing approach, and has guided his agency towards a 99-percent Pre-Claim Review affirmation rate in a matter of a few months. He is active in the Illinois HomeCare & Hospice Council, where he chairs the Member Services Committee and contributes to post-acute network collaboration efforts.
Early Bird Registration Rates
Rates increase $25 seven days prior to each workshop.
Certified & Associate Members $99.00
Private Duty Members & Others $198.00
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