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The Patient-Driven Groupings Model (PDGM) is the most significant change to the home health payment reform in the past two decades. The impact from PDGM is expected to significantly shift service delivery and will change the structure of home health reimbursements. Two key components for calculating payment under PDGM will be clinical group assignment and comorbidity adjustment, thus making ICD-10 coding more important than ever. The need for specific diagnoses is not limited to the primary diagnosis section. PDGM introduces a co-morbidity adjustment that is calculated from up to 24 diagnoses that follow the primary reason home care is tracking the patient. The co-morbidity adjustment can increase reimbursement up to 20%. Specificity and accuracy in ICD-10 will be critical. The long-held practice of accepting whatever patient information physicians deem to send agencies for referrals — because “that’s all they have,” will no longer be an option under PDGM. Join the experts from BlackTree Healthcare Consulting as they take a deeper dive into the detail of PDGM clinical groupings and co-morbidity adjustments. This training will provide participants with a deeper understanding of the challenge’s agencies will face with these two key components in PDGM and how best to prepare for a smooth transition.  Course Author - Robin Seidman Read More

Coding will be of utmost importance with the Patient-Driven Groupings Model (PDGM). If you get the primary diagnosis to fall into a category, is it the correct category and are you capturing the co-morbidity adjustment you are due? In this webinar, we will discuss the differences in coding in house and outsourcing. If you code in-house what is your back up plan? If you outsource, how do you know it’s correct? Know the right questions to ask. Make informed decisions about what is the right path to take going forward for the Review Choice Demonstration, PDGM, and outcomes.  Speakers/Course Authors - J'non Griffin Read More

HCAF's Director of Private Duty Services, Kristen Wheeler, will refresh your memory about the state's requirements for your Comprehensive Emergency Management Plan. All of the current regulations will be discussed as well as reviewing the new process for plan submission and what the Department of Health and AHCA expect from you. Course Author: Kristen Wheeler Read More

Imagine having the tools and confidence to "trigger" the referrals YOU WANT: the ones that are "sticky" (that means they stay on service a "long" time) and the clients that receive the GREATEST IMPACT from your services!  Discover how to increase referrals from your existing customers and to break through to new referral sources.   The only way to do this is to rise above the noise of all your competitors by delivering new value.  When you do this, you unlock a fountain of referrals that are currently going to your competition or discover untapped patients who are not even getting referred. Join Melanie Stover, OT, MBA, MS/ISM and Co-Owner of Home Care Sales on this webinar.  With over 20+ years of experience helping agencies grow to new heights so they can service more clients and impact more lives.   She will share with you the secrets to achieving your next quantum leap! Following Melanie's presentation, hear from HCAF Director of Communications and Government Affairs, Kyle Simon, to learn the latest about the state of the industry and the state of the Association. Speakers/Course Authors - Melanie Stover & Kyle Simon Read More

The Home Care Association of Florida (HCAF) invites you to join us in May for our Spring District Connection – Certified Edition event, your gathering of industry professionals in the Medicare and Medicaid home care sectors to learn and prepare for what's happening now and on the horizon. Special guest speaker and Home Health Solutions CEO J'non Griffin will look at the key agency positions – clinical services, financial management, operations – and the top priorities individuals in those roles need to know how to be prepared for the Patient-Driven Groupings Model (PDGM) on day one (January 1, 2020!). HCAF Executive Director Bobby Lolley, RN, and Director of Government Affairs and Communications Kyle Simon will share legislative and regulatory updates, industry trends, and other insights to position your agency for continued success.  Speakers/Course Authors - J'non Griffin, Bobby Lolley and Kyle Simon Read More

It is estimated that 44% of home health agencies will experience a decrease in reimbursement. In Florida, the average reimbursement change is expected to be -8.4%. Successfully bridging from the Home Health Prospective Payment System (PPS) to the Patient-Driven Groupings Model (PDGM) takes planning and coordination from all departments. This presentation compares how two very different home health providers will experience PDGM and the steps to identify the greatest risk as well as what changes your organization will need to make operationally to survive. Course Instructor: Robert Simione Read More

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