Agenda
Day 1
Tuesday, August 4
Day 2
Wendesday, August 5
8:00 – 9:00 a.m.
Registration and continental breakfast
9:00 – 10:00 a.m.
Working Together: Deconstructing silos, bringing together coding, compliance and payment
(General Session)
Diana (Dee) Kornetti, MA, PT, HCS-D, HCS-C, COS-C | COO, Kornetti & Krafft Health Care Solutions and AHCC Board Chair
Each year in home care we face new regulations, new interpretations, new guidance and new codes, not to mention new payment requirements. Keeping up with all the changes requires vigilance, adaptability and support. The more we can work together, the stronger we can be in adapting to change. Whether your focus is coding, compliance or accurate payment, we all have the same need to navigate change and rise to the challenges. Learn how we can support one another and thrive in uncertain times.
10:00 – 10:15 a.m.
Networking break
10:15 – 11:15 a.m.
Expert panel: Hot topics in home health
(General session)
Karen Tibbs RN, MS, HCS‐D, COS‐C | Senior Quality Manager, OASIS & Coding, McBee Associates
Robert W. Markette, Jr., JD, CHC, HCS-C | Attorney with Hall, Render, Killian, Heath & Lyman
Robin Seidman, RN, MSN, MBA, COS-C, HSC-D, LNCC | Legal Nurse Consultant and Owner, Documentation Compliance Solutions, LLC.
Get insight into the biggest challenges in home health and strategies to address these challenges in order to better position yourself and your agency for success in an ever-changing industry. Hear from panelists on a range of topics including the biggest issues in coding and the role all staff play in ensuring continued compliance and appropriate payment under PDGM.
11:25 – 12:40 p.m.
Staffing for success: Determine the right disciplines for the case
Karen Vance, Senior Managing Consultant, BKD.
Now’s the perfect time to perform a service utilization analysis to assess your mix of disciplines for common clinical groups in the first 30 days versus the second. This session will shed light on the way you decide what disciplines to include on the case to ensure the patient receives the most cost-efficient care. For example: Find out when it’s smarter to use LPNs, home health aides, therapy assistants and even telerehab rather than more costly skilled disciplines. Plus, find out how to track and avoid unplanned LUPAs and more.
Take-home tool: PDGM clinical manager
12:40 – 1:40 p.m.
Networking lunch (provided)
1:40 – 2:55 p.m.
Revolutionize your documentation practices for quality, productivity and payment
Robin Seidman, RN, MSN, MBA, COS-C, HSC-D, LNCC | Legal Nurse Consultant and Owner, Documentation Compliance Solutions, LLC.
PDGM introduced the challenge of completing documentation for claim submission within half the time while still protecting your agency against the increased government scrutiny of claims primarily through TPE and UPIC audits and the re-introduction of RCD. This session will improve documentation from a regulatory, quality and payment perspective and ensure your staff works efficiently to ONLY collect and submit the key pieces of information you need to ensure compliance and accurate reimbursement.
Take-home tool: TPE/ADR audit checklist; Pre-claim audit form; MD certification and F2F resources
3:10 – 4:25 p.m.
Steps to speed up cash flow; Beef up billing under PDGM
Melinda A. Gaboury, COS-C, Chief Executive Officer
Get a crash course on how payments are derived under PDGM. Walk through the HHRG/HIPPS, what all the positions represent and how they work to determine case mix under PDGM. You’ll also receive tips for better tracking orders to speed up cash flow and review key elements for billing and collecting successfully under PDGM.
Take-home tool: Clinical billing review tool
4:30 – 5:30 p.m.
Networking Reception
*Agenda and speakers subject to chage
8:00 – 9:00 a.m.
Continental breakfast
9:00 – 10:15 a.m.
Financial dashboard facelift for PDGM
Chris Attaya, Vice President, Product Strategy, Strategic Healthcare Programs
PDGM has introduced a new set of financial and clinical drivers that will be key to your success in the future. Give your financial dashboards a facelift so you can rest assured that you’re tracking all the key elements you need at your fingertips such as average case-mix weight, episode timing and admission source, LUPAs, average episode length and average visits per discipline for each clinical group.
Take-home tool: PDGM national benchmarks, first 6 months of 2020
10:15 – 10:30 a.m.
Networking break
10:30 a.m. – 11:30 a.m.
Automate your marketing for high-dollar referrals
Melanie Stover, Founder, Home Care Sales
As you learn to navigate the new referral process in PDGM, there are some things that you can do to refine your processes even more. Walk away from this session with a clear plan for creating a marketing structure that gives you the freedom to deepen your relationships with institutions and engage your referral sources in gaining more clinical information for billing. BONUS: Attract high-value referrals!
Take-home tool: Referral readiness checklist
11:40 a.m. – 12:40 p.m.
Drive coding and OASIS accuracy
Karen Tibbs, Senior Quality Manager in OASIS & Coding, McBee Associates
The diagnosis codes your agency chooses as well as responses to certain functional OASIS items drive your episode payments. Learn to avoid the most common mistakes with OASIS and coding to avoid a negative impact on reimbursement. Educate all links in the chain from referral sources, intake, admitting clinician and coder to ensure all the details are gathered to support complete and accurate coding. Put processes in place for avoiding questionable encounter codes, establish coder productivity and accuracy performance metrics and decide what actions to take if coder productivity falls short.
Take-home tool: Coder competency measurement guide and Referral query instructions
12:40 – 1:40 p.m.
Networking lunch (provided)
1:40 – 2:55 p.m.
Tech solutions that ease the PDGM process
Robert Simione, Director of Data Analytics, Simione Healthcare Consultants
Most agencies are not fully utilizing all the automated tools available to them to reach their full PDGM potential. Get tips for how to leverage all the functionality and tools in your EMR to take your PDGM practice to the next level and create efficiencies needed to bill in shorter timeframes. Discover how to leverage technology solutions around referral management, clinical management, orders turnaround, revenue cycle management, KPIs, dashboards and telehealth.
2:55 – 3:10 p.m.
Networking & Refreshment Break
3:10 – 4:25 p.m.
Align employee compensation around PDGM incentives
Robert W. Markette, Jr., JD, CHC, HCS-C | Attorney with Hall, Render, Killian, Heath & Lyman
PDGM has ended therapy threshold payments placing more emphasis on efficiency and quality outcomes. Agencies will need to adapt by adjusting employee compensation to align with these new parameters for success. Review the pros and cons of different compensation models such as per-visit reimbursement, salary and salary with bonus giving careful consideration to compliance risks around overtime pays to ensure you’re motivating staff to deliver cost-effective quality care.
4:30 – 5:30 p.m.
Conference Adjourns
*Agenda and speakers subject to chage
6 Bonus
take-home tools
for immediate use
at your agency!
Earn
11 HCSO-C
BMSC CEUs
This conference is approved for 11 HCS-C CEUs by the Board of Medical Specialty Coding & Compliance (BMSC).
Bonus Opportunity
August 3, 2020
Documentation Improvement in the Post-PDGM World Preconference
Plus, an AHCC Member Reception
