8:00 – 9:00 a.m.
9:00 – 10:30 a.m.
William Dombi, vice president for law, National Association for Home Care & Hospice
Get the inside scoop from one of the industry’s top advocates. Bill Dombi shares the latest movements on key quality initiatives including value-based purchasing, 5-star ratings, face-to-face reviews, pre-claim reviews, bundled payment models, and more. Get insights on the expected direction of the new administration so you can prepare to take the strategic steps necessary to grow your agency despite burdensome regulatory requirements.
10:30 – 11:00 a.m.
11:00 a.m. – 12:00 p.m.
Kelly Kavanaugh-Branam, RN, HCS-D, HCS-O, BCHH-C, HCS-H, quality review nurse, Brookdale Healthcare Services
Discover how Brookdale methodically improved its star ratings to 4.5 stars up from 2.5 stars in preparation for the national roll-out of the Medicare 5-Star Ratings program. Learn the strategies used to improve key outcomes such as ambulation, transferring and bathing, and how your agency can realize similar success by following this agency’s strategies for auditing OASIS in real time, adopting employee incentive programs, offering online and classroom education and developing OASIS quick tips. Get best practices and strategies for analyzing data, determining your key problem areas, concentrating efforts and demonstrating improvement.
TOOL OASIS review tool
12:00 – 1:00 p.m.
1:00 – 2:00 p.m.
Diane Link, RN, MHA, senior clinical consultant manager, and Nick Seabrook, managing director, BlackTree Healthcare Consulting
Learn how to survive in the new value based purchasing (VBP) world with an organizational culture shift from one focused on episodic management to one driven by outcome improvement. Walk through the roles and responsibilities of the executive, manager and clinical team in a successful VBP agency. Get best practices for budgeting, benchmarking, conducting a gap analysis, and tracking key reporting metrics throughout the revenue cycle in order to improve operations and maintain financial stability.
TOOL VBP checklist
2:00 – 3:15 p.m.
J’non Griffin, president, Home Health Solutions, LLC
CMS recognizes that the performance improvement provision in the QAPI requirement is among the most burdensome, which is why agencies have until Jan. 13, 2018, to comply. Receive tactical strategies for getting your QAPI program off the ground from conducting a gap analysis to determining what to focus on to setting up a staff training program complete with a competency program. Learn how to staff your agency for success and motivate your agencies by using a clinical champion. Plus, develop quality data metrics to sustain your improvements and satisfy CMS requirements each year.
TOOL Staff competency quiz
3:15 – 3:45 p.m.
3:45 – 5:00 p.m.
Elizabeth Zink-Pearson, attorney at law, partner, Pearson & Bernard PSC
Learn how to prepare for and survive CMS’ compliance target areas, such as face to face (F2F), proper OASIS & coding, the ongoing JIMMO rule, and the IMPACT act. Take a deep dive into the details of CMS’ audit practices such as “predictive modeling” that identifies so-called anomalies in agencies’ claims so that you can decrease the likelihood of audits. Veteran home health attorney Liz Pearson shares proven experience with real-life client audits, and outlines the documentation requirements critical to establishing compliant claims. Bonus: Get an update on the state of the pre-claim review process and how to survive.
TOOL Checklist for pre-billing clinical record compliance;
CMS’ proposed physician documentation for F2F compliance
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