The 2017 Financial Management Conference, Day 1
July 17, 2017 01:31 PM
The 2017 Financial Management Conference & Exposition (#FMC2017) is the top conference for financial professionals in home care and hospice and it began in Hartford, Connecticut Sunday morning with two pre-conference seminars -- the Future Home Care and Hospice Leadership Summit and the Executive Home Care and Hospice Leadership Summit, for up-and-comers and top executives in the industry, respectively. The day concluded with a reception in the Exposition Hall, followed by the opening general session, which featured the Washington Update from NAHC Vice President for Law Bill Dombi.
The leadership summits featured an array of speakers providing advice on how to get to the top of the home care and hospice industry, as well as how to stay there. Discussions covered issues such as how to stay on the right side of a complex regulatory system, how to navigate the False Claims Act and advice on how to avoid legal problems. A summary of the history of government enforcement action and relevant litigation in the home care and hospice industry provided a superb baseline for understanding relevant risks in the industry.
Other topics discussed included strategies for success in managing an agency’s revenue cycle and how to use collaboration, communication, and integration in home care management to achieve superior financial outcomes.
The discussion for the Future Home Care and Hospice Leadership Summit concluded with a panel discussion featuring Walter Borginis III, Melinda Gaboury, and Chris Attaya, providing the knowledge they have accumulated over decades in the industry to advise younger professionals on how to become the next leaders in home care and hospice.
The opening day of the conference concluded with the Washington Update by Bill Dombi, a presentation covering all the policy challenges, risks and solutions for home care and hospice coming from the perspective of a key industry insider based out of Washington, D.C.
Mr. Dombi began by providing an in-depth analysis of the regulatory and legislative terrain in Washington, D.C. with the Trump administration and a Republican-controlled Congress. Special attention was paid to the health care reform currently being debated in the U.S. Senate and the legislation that has already passed the House of Representatives. Mr. Dombi explained the problems in the legislation, such as Medicaid per capita caps, the potential loss of the Community First Choice benefit, electronic visit verification, and what it all may mean for our industry.
Mr. Dombi also discussed the challenges posed by MedPAC (“If MedPAC isn’t picking on you, you are comatose or deceased”) and warned attendees of how the Home Health Groupings Model (HHGM) constitutes a huge change in home care.
Mr. Dombi covered pre-claim review (“if you pray, pray it never comes to you”) in detail and what the brutal experience of Illinois could mean for the rest of the country when or if pre-claim review is revived.
Finally, Mr. Dombi discussed the current issues in hospice quality and the importance of emergency preparedness, as well as what it means for home care and hospice agencies to be employers. The “companionship services” exemption, wage and hour litigation and mileage reimbursement for home health employees were all covered in detail by Mr. Dombi, who spoke to a packed auditorium.