Mastering Medicare Audits
Defensible Documentation and Operational Readiness for Home Health Leaders
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About This Master Class
This three-part master class series is designed specifically for Home Health Administrators, Clinical Directors, Quality/Compliance Managers, Billing Leaders, and Owners who want to strengthen compliance practices, reduce audit risk, and improve financial outcomes.
This workshop combines regulatory education with practical workflow alignment, emphasizing how proactive documentation, coding, and operational collaboration directly improve revenue integrity and audit defense.
Live Virtual Workshop Series
April 28, May 5, May 12 – 12:00 PM (ET)
Why Attend?
Reduce audit risk
Improve documentation defensibility
Strengthen compliance culture
Align clinical and revenue cycle teams
Protect and improve financial performance
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Mastering Medicare Audits: Defensible Documentation and Operational Readiness for Home Health Leaders
$499
For: Home Health Administrators, Clinical Directors, Quality/Compliance Managers, Billing Leaders, and Owners
This workshop helps home health leaders strengthen compliance practices, reduce audit risk, and improve outcomes during audit reviews. Designed to combine regulatory education with practical workflow alignment, the session emphasizes how proactive documentation, coding, and operational collaboration can directly improve revenue integrity and audit defense.
Session Breakdowns
You will be receiving 3 CEs through the Virginia Nurses Association upon completion of this master class series.
Session 1 Breakdown – April 28th at 12pm EST
Understanding the Audit Environment
Build awareness of audit triggers, types, and the regulatory environment driving increased scrutiny.
- The 2026 Audit Environment: Overview types of audits.
- CMS priorities in 2026: PDGM trends, LUPA behavior, and clinical groupings under review.
- Top reasons for Additional Documentation Requests (ADRs) in home health.
- Real-life examples of audit findings from HealthRev Partners’ data analytics insights.
- The financial and operational impact of denials and extrapolation risk.
Building a Defensible Documentation Culture
Connect clinical documentation behavior with financial and compliance outcomes.
- What surveyors and auditors look for in OASIS, Plan of Care, and visit notes.
- How to ensure documentation aligns with ordered services, progress toward goals, and medical necessity.
- Physician certification & recertification documentation requirements (including telehealth encounters).
- PDGM case-mix pitfalls that heighten audit risk.
- Applying HealthRev Partners’ QA and coding review insights to preempt denials.
1 nursing contact hour is available for this session.
Sessions 2 Breakdown – May 5th at 12pm EST
Compliance-Driven Revenue Cycle Integration
Link proactive compliance with revenue integrity and financial performance.
- Aligning Clinical, QA, and Billing Teams to reduce rework and denials.
- Metrics to monitor key performance indicators for compliance.
- Strategies for responding to ADRs and mitigating extrapolated overpayment risk.
Timeline Slide:
- Walk through timelines and best practices for responding to audit requests, including crafting supporting narratives.
1 nursing contact hour is available for this session.
Session 3 – May 12th at 12pm EST
Leadership Strategy and Continuous Readiness
Help leaders integrate ongoing audit readiness into agency culture.
- “Audit-Ready Always” philosophy for QA and compliance leadership.
- Staff training routines and audit response drills.
- Leveraging HealthRev Partners as an extension of your internal audit and QA structure.
- Q&A and real-world problem-solving.
Takeaway Tools:
- Audit Readiness Checklist
- QAPI Tool
1 nursing contact hour is available for this session.
Meet the Speakers
Molly Bladen,
MSN, FNP-C, HCS-O, HCS-D
Molly Bladen, MSN, FNP-C, HCS-D, HCS-O is a Nurse Practitioner with more than 28 years of experience in Home Healthcare. Her career began in the field as a home health nurse and expanded into agency leadership, quality assurance, regulatory audits, as well as advanced practice provider roles.
Molly brings a comprehensive understanding of clinical care delivery, compliance standards, coding, and operational oversight. Her extensive experience across both frontline and executive functions provides a well-rounded perspective on quality improvement and patient outcomes. She is passionate about strengthening home health practices and supporting excellence across the continuum of care.
Molly lives in NE Florida with her husband and enjoys spending time with family (especially the grandbabies!), camping, boating and playing in the pool.
Ashley Waller,
VP of RCM
Ashley has 15+ years of experience in the RCM industry and leads with purpose and vision. She strives to improve processes and procedures to increase revenue. She takes pride in being not only a strong trainer and mentor, but a leader who invests deeply in the growth and success of each team member. By fostering a culture of collaboration, accountability, and support, she helps individuals, clients, and the organization thrive. She strives to improve processes and procedures for sustainable excellence.
Dedicated to forming sustainable relationships, developing education, and training, she has 15+ years of experience in the RCM industry. She strives to improve processes and procedures to increase revenue. Helping the clients succeed is her top priority.
She lives in West Virginia with her husband and two children. She loves to travel, spend time with her family, watch her children in their activities, and coaches a cheerleading team.
Hannah Vale,
M. Ed.
Hannah Vale, M.Ed., is Chief Executive Officer at HealthRev Partners. She partners with home health and hospice agencies nationwide to improve operational strategies, strengthen compliance, and drive financial performance. Known for her engaging and motivational style, Hannah blends regulatory expertise with real-world operational insight to help agencies reduce denials, improve cash flow, and align clinical and RCM teams. Her work focuses on transforming revenue cycle management from a back-office function into a strategic advantage that supports sustainable growth and high-quality patient care.
