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Home Health Providers have completed the first quarter of care delivery under the Patient-Driven Groupings Model (PDGM) reform that brought the Centers for Medicare & Medicaid Services' (CMS) “Volume to Value” transition to our doorstep. Though recent coronavirus concerns have challenged all health care Providers in ways we never could have expected, success under the PDGM is still tied to efficient care production and delivery. Adapting to the new care production and delivery stresses the entire agency, as traditional Prospective Payment System (PPS) care protocols will fail to produce the desired outcomes under the Value-Based model that is the PDGM.  In order for Home Health Providers to succeed under the PDGM and future CMS reforms, they need to rewire all elements of their care production, delivery, and management. Starting with intake to referral and schedule management, setting the stage for a Value-Based Plan of Care (POC) is essential. By reinventing the Start of Care OASIS admission through clinical accuracy practices that outline a PDGM-compliant care plan, a Value-Based Care Path is identified. This PDGM POC is managed on an in-episode basis for skill management, POC adaptation based on care and results to date, and propulsion to desired clinical results. This webinar will review how these Home Health Providers are faring under the PDGM, both in terms of clinical and fiscal outcomes. By operationalizing the IMPACT Act “Volume to Value” philosophy, these Providers are posting results that exceed traditional Home Health PPS era expectations. Those outcomes include the PDGM episodic margins that exceed the PDGM Grouper predictions by more than 35%, 4+/5 Star/Home Health CAHPS ratings with single-digit readmissions, Potentially Avoidable Events decreased by over 50%, near-elimination of NTUC (Not Taken Under Care)/LUPA (Low Utilization Payment Adjustment) episodes, staff savings of greater than $500/episode, and denial-proof care. In addition, by rewiring their agency for the Value-Era, all requirements of Value-Based Purchasing expansion, Pre-Claim Review, and Post-Acute Care PPS have already been addressed. Don’t miss this progressive webinar to learn about initial clinical and financial results being posted during the PDGM “Volume to Value” transition. Gain insights into care outcomes that exceed expectations, and evolve the PPS-era mindset into the PDGM Value model for success on the care path of today and tomorrow.   Course Author: Arnie Cisneros & Kim McCormick  Read more

While it seems as though Florida has been dealing with COVID-19 forever, we still have yet to hit our surge point. Is your agency ready to step-up and meet the increased need for home care services when the time comes? Join us this Friday, April 17 at 12 ET for a 90-minute briefing to hear first-hand how home health providers and hospitals are partnering with other health care providers from across the care continuum in an effort to band together to meet the mounting needs of their community during this public health emergency.  Course Author: Theresa Gates, Sandra Jenkins and Lisa Kidd Read more

Recent Medicare provider relief measures will serve to reduce federal regulatory burdens for home health providers, while simultaneously streamlining the provision of care and protecting access for beneficiaries amid the COVID-19 pandemic. During this 90-minute installment of HCAF’s online briefing series to examine the regulatory relief policy wins — with one setback — as announced by the Centers for Medicare & Medicaid Services (CMS) on March 30, 2020. Specific measures to be discussed include changes related to: Medicare’s homebound status requirement (revised!) Non-fraud-related claims reviews (paused!) Home health remote patient assessments (now accepted!) Nurse supervision of the home health aide for home health and hospice (waived!) Hospice core service, volunteer, and comprehensive assessment timeframe requirements (waived!) Encouraged use of Medicare-funded telehealth services (…but with no effect on reimbursement) All this plus get your questions answered by registering now for this information-packed online briefing. Course Author: J'non Griffin Read more

While facing the crisis of the century in health care, this webinar will serve to provide clarifications on what is happening so quickly within the industry and address these changes. Cash flow is critical and this webinar will not only address keeping the current revenue cycle process rolling, but will discuss the Medicare Advance and Accelerated Payment Program process and provide details on relief such as the ever awaited update to all non-physician practitioners to now certify home health patients and sign orders. Following are the topics that we will address in this webinar: Telehealth: What is allowed for home health and what is not The relaxing of the quality reporting items and dates OASIS timeline requirements relaxed but still required and still required transmission for billing  Accelerated Payment Requests and the process of recoupment Nurse practitioners, physician assistants, and clinical nurse specialists now allowed to certify patients and follow in home health New diagnosis code for COVID-19 and implementation of the same in the Centers for Medicare & Medicaid Services Patient-Driven Groupings Model Grouper Suspension of medical review (Targeted Probe and Educate, Additional Documentation Requests, etc.) Revenue cycle keys to keeping the cash flowing    Course Author: Melinda Gaboury  Read more

Coronavirus, infection rates, social distancing, self-isolation, quarantine, lock down… Six months ago, none of us could imagine that these topics would soon consume the news—and shape our daily lives. There’s no doubt about it, COVID-19 has created a tough situation for everyone. As home care providers, your business is extremely vital to your communities, yet you have a unique set of circumstances that make your job especially challenging! We truly believe that how you handle this crisis will have an impact on your relationships with your caregivers, the effectiveness of your recruitment efforts, and your caregiver retention rate for a long time after this virus is behind us. It’s crucial during this challenging time for all of us in leadership positions to present a calm demeanor and to support the physical and psychological health of our employees. During this webinar, we will talk about some operational actions you can take to be prepared in the weeks and months ahead.  Then we’ll focus more heavily on ways to keep your caregivers safe, happy, and on your team for the long haul!  Course Author: Linda Leekley, BS RN, and Stacey Tavarez, RN  Read more

Due to the popularity of our last HCAF COVID-19 Briefing, the Home Care Association of Florida (HCAF) is hosting a follow-up event in an effort to keep providers up to date as we continue to navigate this pandemic together. Please plan to join HCAF on Thursday, April 2 at 11:00 AM ET for an hour-long briefing to get up to speed on the latest information on COVID-19 and its implications for home health providers while learning about practical, real-world solutions for possible scenarios specific to the in-home setting.   This time we will be joined by Bobbie Warner, Director of Accreditation for Community Heath Accreditation Partner (CHAP). Bobbie will provide a brief presentation on managing COVID-19 patients in the home care setting. Then, similar to the last briefing, we will have an open panel discussion related to questions submitted to HCAF prior to the event. Panel participants will include J'non Griffin, President of Home Health Solutions, LLC, HCAF Executive Director Bobby Lolley, and HCAF Director of Clinical & Regulatory Affairs Patti Heid.    Course Author: Bobbie Warner  Read more

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