Presenters
Joanie Perkins, CPC, North Sunflower Medical Center
Kate Hill, RN, The Compliance Team
This workshop will prepare Rural Health Clinics with completion of their Annual Program Evaluation. Cited as the largest error during site reviews, this workshop will walk each attendee through their evaluation and sign-off for completion.
The workshop will also include policy templates to assist you as you navigate through the new conditions of participation requirements 491.12 Emergency Preparedness
It designed for clinic administrators, clinic managers, billers, clinic financial personnel, and quality assurance officers.
Tentative agenda
8:00 a.m. Registration
8:30 a.m. Welcome and Introduction
8:45 a.m. Annual Program Evaluation, Part 1- Policy Review
10:30 a.m. Break
10:45 a.m. Annual Program Evaluation Part 2- Services Rendered- Quality Improvement
11:30 a.m. Lunch session -Molina Healthcare
12:30 p.m. Emergency Preparedness Annual Review - What are the requirements?
1:30 p.m. Break
1:45 p.m. Tabletop exercises you can conduct yourself
2:30 p.m. Quality Reporting (should we do it?) ACO participation
3:00 p.m. Evaluation/Adjourn
§491.11 Condition of Coverage: Program Evaluation
An evaluation of a clinic’s total operation including the overall organization, administration, policies and procedures covering personnel, fiscal and patient care areas must be done at least annually. This evaluation may be done by the clinic, the group of professional personnel required under 42 CFR 491.9(b)(2), or through arrangement with other appropriate professionals.
Here’s what you need to bring to the workshop:
• A laptop that connects to the internet
• A copy of your current policy and procedure manual
• Total number of visits by provider for a 12 month period by payer type
• Results of chart audit – 10 open (active) charts and 5 closed (pt’s who have left the practice) charts.
What you’ll leave with…
A completed Annual Program Evaluation that will keep you in compliance for the next 12 months.
