Essential Training At Your Finger Tips

Accrediting agencies are looking at the Conditions of Participation (CoPs), however, the Centers for Medicare & Medicaid Services (CMS) uses the Medicare benefit policy manual which contains the conditions of payment; your agency needs to understand both. Backend Quality Assurance (QA) and Performance Improvement (PI) slows down both identification and resolution of issues and pushes the timeline for improvement in stars, Value-Based Purchasing (VBP) to a year or more. Agencies are often blind sided with Additional Documentation Reviews (ADR), Recovery Auditor Contractor (RAC), and Zone Program Integrtity Contractor (ZPIC) audits despite high marks on surveys because they are auditing from accrediting guidelines, not CMS triggers. CMS is using algorithms to look at every OASIS you submit. Top triggers are over utilization and indications that medical necessity and homebound status are questionable. New CoPs are only meeting the requirements accrediting agencies are already using. Course Instructor - Kristi Bajer and Michael McGowan Read more

Many private duty agencies struggle in managing the nuances between non-medical and medical care. Oversight of private patients can be a high risk area for non-compliance with state law and licensing requirements. In this session, the speaker will outline the role of the case manager within the private duty agency, as well as detail how the position functions within the team. Read more

This session will take a deep dive into the contractual requirements of Medicare managed care plans. This session will outline the necessities of the verification/authorization processes and appropriate coding/billing practices in order to get paid by these managed care plans. Significant missteps often leave agencies in the situation of writing off balances instead of collecting payment. This session will highlight some key components of working with plans such as CareCentrix to get the claim paid the first time you bill it. Don’t be left in the dark regarding Medicare managed care! Read more

This session addresses non-compete agreements in the context of the home healthcare industry: (i) whether they make sense for certain employees; (ii) the extent of their enforceability; (iii) important provisions that are often missing; (iv) steps to assess potential breaches and to enforce the agreement; and (v) best practices for onboarding and defending hires who are subject to another non-compete. Read more

Cybercrime is one of the top economic crimes in the world, with cost estimates soon to reach into the trillions. Not only have victim demographics expanded from the large well-known organizations to the small and mid-sized, healthcare providers are now a consistent target. The recent ransomware attacks, and threats of more to come, have raised questions regarding security and available protection mechanisms.  This presentation will review the critical areas of concern within your environment, provide insight, and offer tools to defend against these attacks. It will also focus on recovery and the importance of preparing for data loss. Read more

Sexual harassment affects all industries, including home care. Preventing Harassment, Discrimination, and Retaliation in Home Care will help you identify, respond to and prevent harassment, discrimination and retaliation in your workplace. This concise, informative webinar is tailored to home care and includes videos and real-life scenarios of how to handle harassment from clients, co-workers and others. Harassment is a hot issue for the Equal Employment Opportunity Commission (EEOC) and plaintiffs' lawyers; learn how to avoid these dangers and protect your workers and your agency. Read more