Program Overview

Hitting the Target With Medicare

Charles Canaan & MaKisha Pressley-Callaham, Palmetto GBA

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 half-day 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. This workshop will provide insight for home health agency staff at all levels.

Agenda:
1. Questionable encounters – State-specific data and physician query;
2. Top denials – Medical review denials and Comprehensive Error Rate Testing (CERT) errors;
3. Nursing process and care planning;
4. Case scenarios;
5. What you need to know for 2020 – Medicare home health final rule and the Patient-Driven Groupings Model (PDGM);
6. Data-driven topics – Top home health reason codes;
7. eServices online portal;
8. Reminders – CERT program and provider enrollment revalidation; and,
9. Provider resources and self-service tools.

DAY & TIME

LEARNING TRACK

Friday, August 14 • 8:30 AM-12:30 PM

Medicare/PDGM

OASIS & PDGM: Where Are We Now?

Kerry Termine, OASIS Answers, Inc.

We are now eight months into the introduction of the Medicare Patient-Driven Groupings Model (PDGM). This presentation will review the OASIS items impacting payment, new guidance related to those items, what trends we are seeing now, and helpful tips for improved accuracy.

DAY & TIME

LEARNING TRACK

Thursday, August 20 • 8:00-9:20 AM

Medicare/PDGM

Palmetto GBA Review Choice Demonstration Update

Charles Canaan & Cara Mia Wilkins, Palmetto GBA

The Medicare Review Choice Demonstration (RCD) is set to begin soon in Florida, coinciding with the COVID-19 pandemic outbreak and the new Patient-Driven Groupings Model (PDGM) payment overhaul. Prepare now for RCD success with a webinar presentation by Palmetto GBA! This presentation will demonstrate how providers can select the review choice option through Palmetto GBA's online eServices portal, and reviews lessons learned from the RCD in Illinois, Ohio, and Texas. Don't miss this opportunity to hear directly from your Medicare Administrative Contractor and get answers to your questions.

DAY & TIME

LEARNING TRACK

Thursday, August 20 • 8:30-9:20 AM

Medicare/PDGM

Epidemics & Pandemics Lessons Learned Panel

J'non Griffin, Home Health Solutions, LLC (Moderator)

The once-in-a-century COVID-19 pandemic has afflicted every industry, organization, and individual in some way, ranging from cash flow to emergency preparedness to personal health and safety. In response, home health providers have united on the front lines in courageous service and dedication to their profession. During this panel forum, leaders from all sectors of the in-home care industry will discuss the issues that have evolved throughout the pandemic and examine lessons learned from public policy, provider, and emergency response perspectives. Attend and join in the discussion!

DAY & TIME

LEARNING TRACK

Tuesday, August 18 • 4:30-5:30 PM

General

President's Address & Excellence in Home Care Awards

Denise Bellville, Comprehensive Home Care

Since 2012, HCAF has recognized home care professionals for their dedication to the provision of quality home care and for their exemplary service to those they serve. HCAF is pleased to have such individuals be a part of the Association and honored to recognize them for their tireless efforts in helping to raise the bar for home care providers throughout the state. These individuals don’t just represent home care, rather, they are the essence of home care.

DAY & TIME

LEARNING TRACK

Tuesday, August 18 • 3:50-4:20 PM

General

Home Health Non-Competes: Best Practices for Enforcing, Defending, and Onboarding

Will Cantrell, Esq., Cantrell PLLC

Will Cantrell is the managing attorney of a Florida-based law firm that specializes in Florida non-compete disputes. This workshop addresses restrictive covenant agreements (e.g., non-competes, non-solicits, non-disclosures) in the context of the home health industry, including: (i) whether such agreements make sense for certain employees and independent contractors; (ii) important provisions that are often missing in restrictive covenants in the home health industry; (iii) best practices on steps employers should take to assess potential breaches and to enforce restrictive covenants; and, (iv) best practices for onboarding and defending hires who are subject to non-solicit or non-compete agreements. This workshop is particularly timely in light of the highly fluid workforce following recent events.

DAY & TIME

LEARNING TRACK

Monday, August 10 • 1:00-5:00 PM

Private Care/Private Duty

A Provider's Guide to Empowering Caregivers and Improving Outcomes

Richard Keller, All Metro Health Care & Stephen Vaccaro, HHAeXchange

As the health care industry transitions from a fee-for-service model to a value-based approach, home health care providers must shift their focus to how they will improve patient outcomes and prove their value to payors. At the same time this transition is occurring, there is a major shortage of caregivers across the nation, resulting in caregiving being among the most difficult jobs to recruit for in America.

During this presentation, Richard Keller, President of All Metro Health Care, will explain how his agency is meeting this challenge with a value-based care approach that has improved staff retention and patient care. Along with Stephen Vaccaro, Director of Client Success at HHAeXchange, Keller will share how All Metro Health Care has empowered caregivers and its care team with the training and tools to collect patient observations and use real-time alerting to reduce avoidable accidents.

DAY & TIME

LEARNING TRACK

Tuesday, August 18 • 1:15-2:05 PM

Clinical & Quality Improvement

Adapting to the Shift of Virtual Care in Home Health

William Ashton & Haley Brown, Health Recovery Solutions

Florida-based Concierge Home Care first implemented telehealth in 2017, and now utilizes multiple virtual care platforms to remotely monitor patient symptoms, provide educational videos, and perform virtual visits. Concierge deployed a three-tier telehealth program, providing individualized care to patients across numerous conditions and varying levels of severity. The highest acuity patients are placed on the first tier. Concierge currently performs nearly 200 virtual visits per week across all three tiers, providing patients with access to skilled nursing, medical social workers, physical therapists, occupational therapists, and other health care professionals via virtual visits.

During this session, Haley Brown, RN, CHHCM, Concierge Home Care's Director of Complex Care, will outline the challenges the agency experienced prior to and during the transition to telehealth, as well as leadership decisions made to overcome these hurdles. In addition, this session will outline how to leverage a virtual care platform to individualize patient care to not only improve outcomes, but also patient and caregiver satisfaction and engagement. Finally, attend this session for a look at Concierge's approach to virtual visits, telehealth, and remote patient monitoring under the new Medicare payment model.

DAY & TIME

LEARNING TRACK

Thursday, August 20 • 11:00-11:50 AM

Clinical & Quality Improvement

Broadening Your Sight: Strategies for Clinical Managers

Christina Crumbley, Signature HomeNow

Managing a home health agency is multifaceted, with all operation areas being equally important. With the Patient-Driven Groupings Model (PDGM) and the Review Choice Demonstration, it is even more important to have clear systems to manage all aspects of the business. This workshop will break down what providers should be focusing on today, including:
• Setting up and monitoring systems and processes;
• Ensuring efficient, effective, and high-quality clinical care and documentation;
• Personnel training and management; and,
• How to effectively analyze agency data while obtaining success under the PDGM payment system.

DAY & TIME

LEARNING TRACK

Thursday, August 13 • 9:00 AM-5:00 PM

Business & Operations

Caregiver Education: The Path to Solving the Caregiver Shortage and Improving Outcomes

Helen Adeosun, CareAcademy

As the U.S. population ages, there are several major challenges facing the health care industry — including home health care — such as the nationwide workforce shortage crisis and a transition to value-based care. Join Helen Adeosun, CEO and co-founder of CareAcademy, for a session that will challenge attendees to consider education’s role in keeping up with future workforce needs and improving client outcomes.

DAY & TIME

LEARNING TRACK

Thursday, August 20 • 11:00-11:50 AM

Private Care/Private Duty

Cost of Poor Quality: What Does it Cost Your Agency?

Laura Page-Greifinger, QIRT (Quality In Real Time)

People in the home health care industry often fail to consider the varied layers of quality care that are part of the patient journey through an episode. As the industry moves forward with value-based contracts and the Patient-Driven Groupings Model (PDGM), it is imperative that providers look at their present practices and observe if gaps exist. This session will review the processes that must be in place to ensure that quality is the priority and all workflow processes within the agency are "best practices" standards for the agency's workforce.

DAY & TIME

LEARNING TRACK

Thursday, August 20 • 8:30-9:20 AM

Clinical & Quality Improvement

Data vs. Insights: How Business Intelligence Tools Improve Outcomes and Operational Efficiencies

Kelly Bishop, AlayaCare

Home health care providers are transforming their businesses to adjust to tectonic shifts in the industry, including, among others:
• Aging populations with complex chronic illnesses, which demands more funding and better reimbursement — a tall order, to say the least;
• A shift to bundled reimbursement, which demands quality- and health-based outcome measures that are difficult to extract and report against; and,
• Rising labor costs, inefficient utilization, and lack of employee performance insight.

These challenges and others compound an industry that is already under an enormous profit margin compression. The shift to electronic medical records, digital systems, and cloud computing has made capturing and compiling large amounts of data much easier. However, despite all of this captured data, providers are generally faced with the challenge of not knowing how to leverage the data beyond basic reporting. Moreover, in the home- and community-based care sector, visits, operational information, and clinical data are often stored in paper format. If this data is digitally available, oftentimes it resides in siloed databases. Such system deficiencies make it nearly impossible to gain a holistic view of operations and eliminates the provider's ability to “pivot” data.
The optimal solution is for providers to be obsessed about data-driven decision making. Thankfully, the rise of business intelligence is unlocking actionable insights that will dramatically improve home and community care organizations. Attend this session for a roadmap to utilizing your data efficiently and effectively to grow your business.

DAY & TIME

LEARNING TRACK

Wednesday, August 19 • 10:20-11:40 AM

Private Care/Private Duty

Thank You to Our Sponsors!

—PLATINUM     SPONSOR—

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2236 Capital Circle NE, Suite 206 • Tallahassee, FL 32308 • Tel: (850) 222-8967 • Fax: (850) 222-9251

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