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"Home health is in a constant state of flux. When we’re not dealing with the day to day of our clients and their needs, the industry is constantly bombarded with new regulations. CMS says this is to curb the rampant fraud in the industry. Home health, however, says that the federal government is out of touch, and has no idea of the importance home health serves our larger health care system. Navigating the compliance requirements of the payor while meeting the needs of patients and staff can only be done through system-ness and adherence to standardized patient care. As we navigate the waters of VBP, the Home Health Groupings Model (HHGM), and the additional Alternative Payment Models mandated by CMS, we need to evolve or retire our provider numbers. Ultimately, we need to look carefully at how we provide care, reduce costs, and increase outcomes. Changing our processes to be proactive rather than reactive we need to learn the lessons of those who have gone before us, to not only save our businesses, but grow them." - Kristi Bajer and Michael McGowan Read More

Accrediting agencies are looking at the Conditions of Participation (CoPs), however, the Centers for Medicare & Medicaid Services (CMS) uses the Medicare benefit policy manual which contains the conditions of payment; your agency needs to understand both. Backend Quality Assurance (QA) and Performance Improvement (PI) slows down both identification and resolution of issues and pushes the timeline for improvement in stars, Value-Based Purchasing (VBP) to a year or more. Agencies are often blind sided with Additional Documentation Reviews (ADR), Recovery Auditor Contractor (RAC), and Zone Program Integrtity Contractor (ZPIC) audits despite high marks on surveys because they are auditing from accrediting guidelines, not CMS triggers. CMS is using algorithms to look at every OASIS you submit. Top triggers are over utilization and indications that medical necessity and homebound status are questionable. New CoPs are only meeting the requirements accrediting agencies are already using. Course Instructor - Kristi Bajer and Michael McGowan Read More

Medicare and Medicaid promise to be in spotlight in Washington in 2018. With budget proposals that reduce spending by a combined $1.5 trillion in Medicare and Medicaid, it is certain that home care and hospice will be in the discussion on Capitol Hill and in the Administration. It can also be expected that 2018 will include an acceleration of health care delivery and payment initiatives tied to value and care quality. This session will provide a forecast for potential health policy changes and how the home care community will engage on the issues with strength and commitment to continue the push for expanding home care as a viable solution in the next generation of health care. Course Author: William A. Dombi, Esq. Read More

What is a case manager's role? Isitsimply to assess, facilitate, and coordinate services? Or isitto be supportive, bring value, and have a comprehensive understanding of the patient’s needs? Case managers play an important role in supporting patients and their families. Patient care is not routine, and care coordination needs to meet changing needs. In this session, we will discuss how the role of the case manager is integraltoquality of care. Course Instructor - Christina Nuqui Read More

Change is all around us. Home health is in regulatory overload. The problem is, nobody likes change! In this interactive presentation we will discuss all the changes that have happened to us as an industry, what changes are coming, and how not only to survive, but to thrive. Less than one week into the new Conditions of Participation, and we are all change hyperdrive. How are YOU managing? One thing is for sure: Home health of the past is NOT the home health of the future. We will discuss staff buy-in, and how to boost morale in the environment of constant change. Course Authors: J'non Griffin & Marvin Javellana Read More

Home Health Providers will continue to confront home care reforms that repackage their care in terms of "Volume to Value" changes. In addition, to changes such as the recent COP updates, Med Pac proposals and CMS data concerns demonstrate the inevitability of future payment reforms for Home Health Providers. Agencies seeking success in the future must rewire care processes in CMS value terms, and this represents a difficult culture shift for both clinicians and their managerial staff. This progressive and interactive presentation from a leading Home Health expert will lead you down the road to success in the value era. Course Instructor - Kimberly McCormick Read More

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