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Since the implementation of PDGM, home health providers have faced many regulatory and financial challenges. Providers’ ability to maintain adequate revenue while meeting new and changing regulatory requirements and navigating ongoing reductions in CMS reimbursement is top of mind. The good news? There’s an opportunity to turn these regulatory and financial challenges into achievements. By dedicating time and effort to regulatory changes that impact revenue, care organizations can maintain control of their financial future. A few of the key drivers for improving home health providers’ financial performance include: A) Increasing the number of 30-day periods per patient (Periods per Episode), B) Increasing recertification rate and C) Mitigating avoidable LUPA.  Some providers, however, have responded to increasing ADR and TPE audits by limiting the number of 30-day periods per patient, reducing the volume of recertifications and, consequently, increasing the number of avoidable LUPA within their organization. This presentation will delve into clinical documentation best practices to support reasonable and necessary skilled care, reduce the risk of audit denials, and allow providers to focus on those key drivers for improving financial performance.   Speakers/Course Authors - Carissa McKenna & Arrica Canty Read more

More than 75% of agencies under the Review Choice Demonstration choose Pre Claim Review (PCR). Medical necessity was one of those things that we never really had to think much about under PCR.  It was the one thing that Palmetto wasn’t focused on during their reviews…Well…now that RCD has been extended another 5 years, there is a renewed focus on the it by Palmetto. So, are your PCR submissions ready for the increased scrutiny? This session will cover the basics of Medical Necessity under the Medicare benefit and we will learn what Palmetto is looking for and how to provide the information needed to get those quick affirmations.  All this while using what you already have in your charts and without spending more time on the overall process.  Discussion will include the “ new” wound care and Hand-Off requirements. Medical necessity…it’s baaack!   Speakers/Course Authors - Kim Wilkerson Read more

A significant addition to the Home Health Quality Reporting Program (HHQRP) is the Discharge Function Score (DFS), introduced to replace, the Total Normalized Composite (TNC) for Mobility and Self-Care. Comprised of ten OASIS GG codes for Mobility and Self-Care functions, the DFS compares observed scores at discharge with what was expected, using risk adjustment at the start or resumption of care - measures which CMS will themself complete if left blank. Emerging within OASIS data importance, our clinicians' ability to understand GG scoring guidance, accurately assess and capture aligned GG elements has become a strategic element within successful HHVBP performance.   Speakers/Course Authors - Cynthia Campbell Read more

More than 75% of agencies under the Review Choice Demonstration choose Pre Claim Review (PCR). Medical necessity was one of those things that we never really had to think much about under PCR.  It was the one thing that Palmetto wasn’t focused on during their reviews…Well…now that RCD has been extended another 5 years, there is a renewed focus on the it by Palmetto. So, are your PCR submissions ready for the increased scrutiny? This session will cover the basics of Medical Necessity under the Medicare benefit and we will learn what Palmetto is looking for and how to provide the information needed to get those quick affirmations.  All this while using what you already have in your charts and without spending more time on the overall process.  Discussion will include the “ new” wound care and Hand-Off requirements. Medical necessity…it’s baaack!   Speakers/Course Authors - Kim Wilkerson Read more

As the number of individuals living with Parkinson’s disease rises, so does the demand for effective home care services tailored to their unique needs. However, many caregivers lack a comprehensive understanding of Parkinson’s disease and its diverse array of symptoms. Research indicates that a significant portion of individuals with Parkinson’s do not receive timely medication, negatively impacting their quality of life.   In response to these challenges, this presentation introduces the TULIPS model — T stands for Time; U is for Understanding; L is for quality of Life; I is for Increased awareness; P is for Pills on time; and S is for Support — a comprehensive approach to Parkinson's assessment and care planning. Through practical strategies and tools, caregivers will learn how to address the complex motor, non-motor, and cognitive issues associated with Parkinson’s disease, ultimately enhancing the quality of care provided to individuals living with this condition.   Speakers/Course Authors - Rose Wichmann & Joan Gardner Read more

In the fast-paced role of home care sales, professionals encounter unique challenges that go beyond mere transactions. They serve as pillars of comfort, support, and assurance to families navigating difficult times, underscoring the crucial need for specialized sales training tailored to the home care industry.   This session delves into the core components of effective home care sales training, emphasizing the delicate balance of empathy, understanding, and trust-building alongside traditional sales skills. Attendees will gain invaluable insights into:   • Developing relationships with professional referral sources • Building strong relationships in the home care sales role • Identifying Key Performance Indicators (KPIs), goals, and steps to accountability • Integrating in-person marketing with online efforts   Join us as we provide you with the tools and strategies necessary to elevate your approach to home care sales and achieve unparalleled success in this dynamic industry.   Speakers/Course Authors - Valerie VanBooven & Dawn Fiala Read more

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