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With Medicare's Patient-Driven Groupings Model coming in 2020, compliance plays a critical role now more than ever. Reimbursement changes will enhance the need for better documentation as it relates to the diagnosis codes assigned on the claim. Therapy is still important yet costly to agencies, and it is crucial to understand the best methods to provide quality care that meets patient needs while staying financially viable. Agencies must ensure that clinical documentation supports the primary diagnosis and is focused on medication management, teaching and assessment, neurological and muscular rehab, complex nursing interventions, wounds, or behavioral health. Agencies must also ensure that documentation supports all co-morbidities listed on claims and that the co-morbidities are addressed in the plan of care and interventions. Speaker/Course Author - Dawn Cheek Read More

<!--td {border: 1px solid #ccc;}br {mso-data-placement:same-cell;}--> With the growing Medicare Advantage population, the Centers for Medicare & Medicaid Services (CMS) has finally added non-skilled in-home care such as personal care and housekeeping as a benefit. This historic long-awaited decision by CMS recognizes the importance of non-skilled home care and how it can bridge the gaps in home care. Learn how home care provider, SeniorBridge, is teaming up with Humana, one of the leading health care companies in the country, to provide high-quality home care to our most vulnerable population. Speaker/Course Author - <!--td {border: 1px solid #ccc;}br {mso-data-placement:same-cell;}--> Ruthi Farrago Read More

There are so many factors to consider when taking on a new patient. And the prospect of the Patient-Driven Groupings Model has only heightened the burden! From intake information, coding, medical doctor certification, face-to-face documentation…all of the parts and pieces have to mesh in order to have a proper referral and admission. If one, or more, of the parts are missing or are incorrect, agencies set themselves up for complaints, denials, Additional Documentation Requests and a host of other things we’d all rather avoid. By understanding the factors and documentation necessary for a proper referral and admission, agencies can better manage their patients and revenue flow from intake through discharge. Speaker/Course Author - Apryl Swafford Read More

This session will explore 2019 issues that you should be preparing for including efforts to unionize caregivers, predictive scheduling challenges, targeting of live-in pay practices, the proposed national domestic worker act legislation, and state law updates likely to lead to future litigation. This session will also discuss the various home care provider coalitions that have formed to defend the industry from these challenges in various jurisdictions. Over the course of the session we will also discuss the latest type of litigation targeting home care providers and their owners and provide specific strategies to minimize the risk to your organization. Speaker/Course Author - Angelo Spinola, Esq. Read More

Modern software solutions leverage Application Programming Interfaces (APIs) to connect data points between each other. This flow of information is meant to provide relevant information to key stakeholders wherever and whenever it is needed. This is similar to a retailer providing the information that a customer needs at the point of purchase, except in a home care environment; the software is providing the necessary information – for example, medical information or scheduling details – at the point of care. So why does this matter? Because clients will travel many different ways across the continuum of care, and their data should do the same. Indeed, in an age where data sharing is important – even vital in the health and home care industries – software solutions need to be seamless. Adrian will educate attendees on what APIs are and how their integration can enhance your business operations. Speaker/Course Author - Adrian Schauer, B.Eng., M.A.Sc. Read More

Presenters will review how agency outcomes affect Star Ratings under the Patient-Driven Groupings Model (PDGM). A case study will be presented focusing on care of the patient with a specific primary diagnosis and differences between caring for the patient under the Prospective Payment System versus PDGM. Key areas of focus will be managing inappropriate Low Utilization Payment Adjustments under PDGM, cost-effective approaches for improving functional status of patients under PDGM, and recommended metrics to track under PDGM. Course Author: Christopher Attaya, MBA & Sue Payne Read More

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