Course Code: REL-PAC-WB-FYFRDOC
Hours: 1.5
Type: Online Course
Content Expiration Date: 12/31/2026
Learning Objectives:
Establish procedures for meeting timelines as outlined in the Final Rule 2024.
Outline the requirements for various levels of care and re-educate clinical staff.
Evaluate poor submission of data in support of the Hospice Quality Reporting Program.
Outline:
FY2024 Final Rule: Discussion and Operationalization of Changes
FY2024 Final Rule – Updates
FY 2024 Final Rule – Rate Increase
HQRP Program – Non-Participation Payment Reduction
Clarification on Wage Index Values
CMS Comment on the Use of Continuous Home Care (CHC)
CMS Comment on the Use of CHC (cont’d)
Telehealth Services for the F2FE
F2FE Telehealth Reminder
Technology Provision during Public Health Emergency (PHE)
Hospice Outcomes and Patient Evaluation (HOPE) Tool
Future Quality Measure (QM) Development
CAHPS® Hospice Survey Updates
HQRP Reporting Requirements and Annual Payment Updates (APU)
HQRP Compliance (FY2024 and 2025)
2024 Hospice Inpatient and Aggregate CAP
Hospice Certifying Physician Enrollment in Medicare
Ordering Covered Items and Services for Medicare Beneficiaries (§ 424.507)
Certifying Physician and Medicare Enrollment/Exclusion Verification
Certifying Physicians
Certifying Physician Medicare Verification
Search NPI Records
NPI Look-Up Example
NPI Look-Up Example (cont’d)
Physician Medicare Enrollment
CMS 855O – Certification Statement
Certifying Physician and Medicare Enrollment/Exclusion Verification
Subject Matter Expert: Carrie Cooley, RN, MSN
Carrie Cooley is the Principal of Weatherbee Resources. Carrie joined Weatherbee in 2009 as an Associate Consultant and was hired as the Consulting Coordinator in 2012. In 2014, Carrie was promoted to the Director of the Consulting Division and in July 2015, she assumed the Chief Operating Officer position. Carrie was promoted to CEO in February 2018.
In August 2021, Carrie became the sole owner of Weatherbee Resources having purchased the company with a business partner in 2018 from the company’s founders, Heather Wilson and Joy Barry. Carrie continues the long-standing history of Weatherbee Resources’ service to the hospice community.
In her role as Principal, Carrie ensures Weatherbee’s consulting services, products, and education are provided in a professional and cost-effective manner and are specifically tailored to meet each client’s individual needs. As one of Weatherbee’s owners, Carrie is responsible for ensuring Weatherbee is positioned to assist hospices with the ever-changing regulatory hospice environment.
Carrie’s regulatory expertise and extensive consulting experience includes forensic clinical record auditing, baseline compliance audits/mock surveys, interim management, clinical due diligence, and executive coaching. Carrie and her team also work directly with clients’ legal counsel in preparation for arbitration and other hearings; Carrie frequently serves as an expert witness. Weatherbee also works extensively with clients who are under a Corporate Integrity Agreement (CIA); Carrie and her team manage the Independent Review Organization (IRO) audit activities required by the Office of Inspector General (OIG). Carrie’s excellent rapport with executives and staff alike – coupled with her regulatory and clinical acumen, and knowledge of best practices – assures excellent consulting outcomes.
Under Carrie’s leadership, Weatherbee has assisted hundreds of clients under investigation by various Medicare contractors including: Targeted Probe and Educate (TPE), Zone Program Integrity Contractors (ZPIC), Unified Program Integrity Contractors (UPIC), Benefit Integrity Support Centers (BISC), Recovery Auditors (RA), the Department of Justice (DOJ), and the OIG.
As a member of Weatherbee’s Speaker’s Bureau, Carrie teaches a broad range of hospice, regulatory, and leadership-related topics nationally and is a member of the faculty for Weatherbee’s renowned Hospice Regulatory Boot Camps. Carrie also frequently speaks at state and national hospice conferences on compliance-related topics.
Carrie is a registered nurse and holds a master’s degree from Samford University with a specialty in nursing leadership and healthcare finance.
Target Audience:
The target audience for this course is: Nursing Personnel; in the following settings: Hospice.
Relias Learning will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Relias Learning has a grievance policy in place to facilitate reports of dissatisfaction. Relias Learning will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias Learning at support@reliaslearning.com.
All courses offered by Relias Learning, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.