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Palmetto GBA’s objective is to have educated and astute providers who know how to accurately and skillfully apply the information they learn to their documentation and billing practices. This workshop is designed to equip home health providers and their staff with the tools to achieve this, with a focus on coverage, documentation requirements, the most common billing errors, and hints and tips to avoid them. Additionally, this workshop will focus on current hot topics that include RCD, how to successfully navigate eServices, RAP changes, final rule updates for 2021 and much more! This workshop will provide insight for home health agency staff at all levels so don't miss this opportunity to hear directly from your Medicare Administrative Contractor and get answers to your questions. Course Author: Elizabeth Brogdon, Charles Canaan, MaKisha Pressley-Callaham & Cara Wilkins Read more

Overwhelmingly, patients want to receive care in their home. This reality has been accelerated with the COVID-19 pandemic, as many patients opt for care in the home rather than care in a skilled nursing facility (SNF).  As a result, more and more healthcare organizations are adopting SNF-at-Home models of care, where home health agencies seek to provide care for higher acuity patients in their home - patients that would have formerly gone to SNF. It is estimated that 25% short-stay SNF patients could be cared for with this model - one that has the power to increase patient convenience, reduce costs and improve quality of care.  This new model is especially relevant for wound care patients, who often require complex, chronic care for extended periods of time - with a wound taking 311 days to heal on average. It is believed that approximately 40% of SNF-at-Home patients will require wound expertise, either because of a past wound, a present wound or because they are at high-risk of developing a wound.  Home health agencies that develop a SNF-at-Home program that focuses on wound care will have a unique opportunity to expand their business, develop trusted partnerships with referral partners and, most importantly, help more patients receive care in the setting they prefer the most - their own home. This presentation will provide best practices, techniques and case studies to help home health agencies evaluate and implement wound care focused, SNF-at-Home programs. Course Author: Amy Cassata & Siobhan Gomis Read more

Caring for others is already challenging.  The recent experiences of our country and world have made doing so that much more difficult.  As we seek to recover and rebuild our world, our industry, and ourselves what lessons can we carry forward to create a new and healthier way of doing healthcare?  This presentation will discuss the challenges we have faced within and without, the pain points made that much more clear by recent crises, and what post-traumatic growth and emotional intelligence can teach us about ways to not simply get through but thrive beyond to a healthier future. Course Author: Dr. Carla Cheatham Read more

Impact Act reforms have altered the Home Health industry under PDGM, and the changes will continue over the next few years. Providers have modified care processes in response to these Value Reforms, but most agencies struggle in terms of clinical outcomes and financial margins. Clinical staff haven’t internalized the Volume to Value shift, and what that means operationally in terms of care delivery. Competition for patients will continue to increase, and what we do with patients in terms of outcomes is more important than ever. Med Pac recommendations for Impact Act implementation outline goals for the Home Health of tomorrow, but most Providers are still on the path to rewiring for PDGM success. Many front-line clinicians haven’t internalized the changes, and historical Home Health behaviors compromise value outcomes and fiscal margins. Considering that future Impact Act reforms build on PDGM processes for increasingly efficient episodes, it is essential to hard-wire value protocols today. Where are the opportunities to drill-down PDGM processes for immediate improvements that deliver improved clinical and financial outcomes? How are your outcomes compromised at different points in the Intake to Discharge phase? What areas of your agency will you find are working in opposition to PDGM goals and processes based on legacy HH behaviors? How do your veteran clinicians perform under the new Value Models? Have you established Value-based metrics to assure your PDGM processes continue to evolve? This 2-part progressive presentation addresses these questions that will define Home Health success today and tomorrow. Case Studies, PDGM Outcome data, Clinical Staff Immersion, Back Office and In-Episode Care Management; these are just a few of the areas we will examine for Value Era opportunities. Under PDGM, efficient clinical management produces improved clinical and financial results, and this session will start you and you agency on that path today! Course Author: Arnie Cisneros & Kim McCormick Read more

The Centers for Medicare & Medicaid (CMS) Quality Improvement Organization (QIO) reviews thousands of appeals annually. In 2019, approximately 50% of Florida appeals submitted were terminated due to technical failures which were often the fault of the submitting provider. These failures can result in substantial revenue loss to the provider. Multi-faceted, these failures include issues with the Notice of Medicare Non-Coverage (NOMNC) form, records submission, and meeting deadlines. During this program, the speaker will review the basics of NOMNCs, how to respond to a QIO appeal request, and how to avoid common mistakes.  Course Author: Nanette Smith NHA Read more

During this session we will cover the history, characteristics, and the patient qualifications related to palliative care. We will also discuss palliative care in comparison to hospice and the benefits palliative care in a community setting can provide to patients, families, caregivers, and the healthcare system.  Speakers/Course Authors - Becky Tolson Read more

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