Finance Programing | National Association for Home Care & Hospice

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Finance Programing Descriptions

100 Series – Thursday, October 31, 11:30am – 1pm

103. Cost Report For Beginners and Those Seeking a Refresher Course

The most vital and difficult filing document required by CMS is the Medicare HHA cost report. The “why” of the cost report will be discussed, but with the emphasis on the “how to” for small HHA’s.

Objectives:

Identify the paper flow of the HHA cost report
Explain the purpose of the cost report and reasons and uses for it
Identify the requirements and purpose of related documents to cost report; PS&R, financial statements, work papers and more

Faculty: Thomas Boyd, MBA, CFE, Principal, Boyd & Nicholas, Inc., Rohnert Park, CA

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/FIN)

Track: Financial
Audience: | HH | HOS | NUR | PHY | PD | TH

104. If You Can’t Measure It You Can’t Manage It

If turnover were a line item on financial statements, home care and hospice executives would have addressed the problem long ago. Executives invest more time and energy managing people than any other line item. It's time to start measuring the effectiveness of the investment in staff accordingly. This program focuses on the techniques to measure and control turnover to help improve the bottom-line.

Objectives:

Explain the various people metrics
Demonstrate why home care agencies should determine and establish proper metrics
Recognize the measurable qualities of a behavioral assessment

Faculty: Bill Wagner, BA, CSP, CEO, Accord Management Systems, Thousand Oaks, CA

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/FIN)

Track: Financial
Audience: | HH | HOS | NUR | PHY | PD | TH

200 Series – Thursday, October 31, 1:30 – 3pm

203. Minimizing Agency Bad Debt Write-Offs for Unsigned Orders

VNA of Greater Philadelphia, like homecare agencies throughout the country, struggled with the tracking and collection of signed documents. This program will present the case study of the evaluation and redesign of their Orders Tracking department. The lessons learned and the corrective techniques adopted can fit well for other home care companies.

Objectives:

Discuss obstacles VNA of Greater Philadelphia faced in collecting outstanding signed orders
Review processes utilized by the agency prior orders tracking redesign
Describe steps taken to redesign the process

Faculty: Michael Freytag, BS , Director, BlackTree Healthcare Consulting, Conshohocken, PA; Dawn Michelizzi, BS , Controller, VNA of Greater Philadelphia, Philaelphia, PA

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/FIN)

Track: Financial
Audience: | HH | HOS |

204. Medicaid Pediatric PDN: Meeting Patient Needs within Budget

Many home care companies specialize in providing pediatric private duty nursing services to technology-dependent children. Successfully operating a Medicaid pediatric PDN program takes a combination of solid cost controls, utilization oversight, and staffing management. This program will focus on the operational and management actions that provide the best opportunity for delivery of high quality care to pediatric Medicaid patients while staying within budget.

Objectives:

Identify the highest risks to financial solvency in providing Medicaid PDN
Describe an analytical framework for evaluating operational weaknesses in Medicaid pediatric PDN
List the steps to consider to stabilize the financing and operations of a Medicaid pediatric PDN program

Faculty: TBA

Course Level: Intermediate

Track: Financial
Audience: | HH | HOS | NUR | PHY | PD | TH

300 Series – Friday, November 1, 8 – 9:30am

303. Care Integration and Network Models: How to Become a Player

A transformation in care delivery is underway nationwide. Spurred on by care leaders and payers alike, all levels of health care are shifting towards integration and outcomes-based performance. Whether through managed care, Accountable Care Organizations, bundled payments, care transition programs, or chronic care management, the health care world is evolving away from fee-basis care. Shared risk, clinical and financial accountability, and value-based purchasing are becoming the standards for health care. This program includes a status report on health care delivery reforms, an overview of where homecare and hospice fits in the reforms and how to be best positioned to become a central participant.

Objectives:

Identify the status of various models of health care delivery reform and the position of home care and hospice within them
Define the risks and opportunities for home care and hospice in new care delivery models
Identify steps needed to secure a prime participation spot In ACOs, managed care, bundled payment and other reform models

Faculty: TBA

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/FIN)

Track: Financial
Audience: | HH | HOS | NUR | PHY | PD | TH

316. Improving Your Hospice Services Bottom Line: Cost Efficiency in Tighter Reimbursement

The program will discuss the challenges for hospice providers in maintaining stable and profitable operations while improving clinical outcomes. The understanding and use of key metrics to measure profitability for hospice will be discussed. This program will address the cost indicators that must be understood in making decisions of owning a general inpatient facility. This program will provide an overview of other specialty services provided by hospices such as pediatric hospice and palliative care programs.

Objectives:

Identify an optimum clinical model to improve efficiencies and productivity while improving clinical and financial outcomes
Recognize the costs and methods to achieve efficiencies in managing a hospice inpatient facility
Identify key metrics for hospice program success

Faculty: TBA

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/FIN)

Track: Financial
Audience: | HH | HOS | NUR | PHY | PD | TH

400 Series – Friday, November 1, 2:30 – 4pm

403. Mergers and Acquisitions: Buying, Selling and Valuing Panel Discussion

This panel will bring together leading M&A experts to discuss updates on the current market conditions - i.e. reduced Medicare reimbursement, health care reform, ACOs, Medicaid and private pay - along with issues that are key to the process of closing transactions. This session will be an open format designed to encourage Q&A.

Objectives:

Report on Market Conditions
Estimate valuation
Make preparation

Faculty: Donald Cummins, RPh, M&AMI, President/Owner, Stoneridge Partners, Fort Myers, FL; Peter Sosnow, BA, Vice President, Corporate Development, SeniorBridge, New York, NY; Brian Bruenderman, JD, Director of Development, Almost Family, Louisville, KY; Sheldon J. Berman, BS, CPA, CVA, Principal, Simione Healthcare Consultants, Hamden, CT; Cory Mertz, BS, Vice President, Partner, Stoneridge Partners, Fort Myers, FL

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/FIN)

Track: Financial
Audience: | HH | HOS | NUR | PHY | PD | TH

500 Series – Friday, November 1, 4:15 – 5:45pm

504. Medicaid Rate Advocacy: What it Takes to Get Fair Payment

Medicaid is the largest payer of home care services in the U.S., yet payment rates for Medicaid home care are often far below the cost of the care delivered and require providers to find additional sources of financial subsidy in order to continue delivering Medicaid services. While this unfortunate phenomenon occurs in virtually all provider sectors, there are some steps that can be taken to heighten the chances that rates can be improved. This program will present the experiences of several states that have grappled with Medicaid home care rates with some success, focusing on creating an evidentiary base for rate advocacy that can prevail in the always difficult political climate of state Medicaid programs.

Objectives:

Identify sources of financial data that can be used to support revisions in payment rates
Recognize the state and federal legal standards for Medicaid payment rates
Define the techniques that can be used in Medicaid rate advocacy with state Medicaid programs and state legislatures

Faculty: TBA

Course Level: Intermediate

Track: Financial
Audience: | HH | HOS | NUR | PHY | PD | TH

600 Series – Saturday, November 2, 8 – 9:30am

603. Managing Compliance in the Revenue Cycle

This workshop will leverage the expertise of the Home Care and Hospice Financial Manager’s (HHFMA) committee devoted to billing operations and cash flow. With the increased regulatory scrutiny of both Medicare and Medicaid home health and hospice documentation and billing practices, this workshop will provide a forum to share knowledge and experiences on effectively managing regulatory compliance throughout the revenue cycle.

Objectives:

Identify various program integrity contractors focused on home care and hospice providers.
Describe current known program integrity activity aimed at home health and hospice providers
Express effective ways to manage key compliance risks

Faculty: M. Aaron Little, CPA, Director, BKD, LLP, Springfield, MO; Melinda Gaboury, COS-C, BBA, Chief Executive Officer, Healthcare Provider Solutions, Inc., Nashville, TN; Brad Parrish, BS, VP of Finance - Home Health, Harden Healthcare, Austin, TX

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/FIN)

Track: Financial
Audience: | HH | HOS |

613. Insider’s Guide To Measuring Private Duty Financial Success

The presentation will provide the inside track on financial metrics, national industry benchmarks and the best tracking tools for private duty home care. Participants will learn how to measure your agency’s performance against industry data, evaluate which key actions will improve your agency’s business health, and effectively motivate your staff.

Objectives:

Identify how they compare to key industry benchmarks
Identify four Business Tracking Tools
Identify four Actions to improve business health

Faculty: Patricia Drea, MPA, BSN, COO, Visiting Nurses Home, Taga Cay, SC

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/FIN)

Track: Financial
Audience: | PD |

700 Series – Saturday, November 2, 2:30 – 4pm

703. How Benchmarking Techniques can be Used to Cut Millions In Expenses

This program presents how the VNA of Philadelphia used benchmarking techniques to reduce expenses by millions of dollars in order to meet the challenges posed by Medicare payment cuts and more managed care patients at lower rates. With Medicare home health rate rebasing in 2014, payment sequestration for all Medicare providers, and increased penetration of managed care in Medicare and Medicaid, cost cutting is essential.

Objectives:

Evaluate the various sources of benchmark information and make an informed selection of the right benchmarks to use
Analyze your current costs in order to organize them in a format conducive to benchmarking and understanding how your agency incurs expenses
Use benchmarks, design and implement an effective program with your management team to understand how to manage and reduce your expenses

Faculty: Walter Borginis III, CPA, MBA, Executive Vice President- Finance & Admin/CFO, Visiting Nurse Association of Greater Philadelphia, Philadelphia, PA; Josh Sullivan, BSBA, Budget Coordinator, Visiting Nurse Association, Philadelphia, PA; Rob Simione, BS, CPA, Vice President of the Financial Monitor, Simione, Hamden, CT

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/FIN)

Track: Financial
Audience: | HH | HOS |

704. Medicaid Issues Open Forum

Medicaid is fast becoming the center of home care services for all age groups, the elderly, and persons with disabilities. At the same time, Medicaid home care is fast evolving with innovative home and community-based care programs starting in the States, expansion of Medicaid Managed Long Term Services and Supports (MMTSS), and the major expansion in Medicaid enrollment slated for 2014. NAHC’s National Council on Medicaid Home Care will host its third annual open forum that offers an electric dynamic focused on the hottest Medicaid issues of the day. This is one of the sessions that you must not miss if you have any interest in Medicaid home care whether as a provider or supporting vendor.

Objectives:

Identify the priority issues and trends affecting Medicaid home care
Describe the activities of the National Council on Medicaid Home Care
Recognize the growing opportunities in Medicaid home care

Faculty: Moderator: William Dombi, Esq., Executive Director, National Council on Medicaid Home Care, Washington, DC

Course Level: Intermediate; No CEs or CPEs awarded for this session nursing CEs

Track: Financial
Audience: | HH | HOS | NUR | PHY | PD | TH

708. Potential Financial Disincentives for Home Health Patients with Clinical Complexity and Limited Social Resources

Weaknesses in the Medicare Home Health PPS may render certain patients vulnerable to reduced access to home health care. This program presents results of a national study of Medicare payment adequacy and the access risks posed to various types of patients through inadequate reimbursement. The policy implications of the findings will also be discussed.

Objectives:

Introduce the audience to the primary objectives of the research study
Describe the study methodology and results
Explain how the results of this study might inform policymakers who are tasked with revising the Medicare Home Health Prospective Payment System

Faculty: Robert Rosati, PhD, Vice President of Clinical Informatics, Visiting Nurse Service of New York, New York, NY; David Russell, PhD, Evaluation Scientist, Visiting Nurse Service of New York, New York, NY; Kathleen Sheehan, CAE, Vice President of Public Policy, VNAA, Washington, DC, DC

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/FIN)

Track: Financial
Audience: | HH | NUR | TH

800 Series – Saturday, November 2, 4:15 – 5:45pm

803. Financial Managers Open Forum

Once again, the Home Care and Hospice Financial Managers Association (HHFMA) presents its open, no holds-barred forum meeting to pull together all the crucial information presented in the financial management workshops, legislative and regulatory developments, and innovations in health care. This session will address any and all issues of interest to the conference faculty and attendees. The insights are endless, all the advice is free and the experience is priceless. All are welcome to attend and get engaged!

Faculty: William Dombi, Esq., Vice President for Law, National Association for Home Care & Hospice, Executive Director, Home Care and Hospice Financial Managers (HHFMA); Director, Center for Health Care Law, Washington, DC, Washignton, DC

Course Level: Intermediate; No CEs or CPEs awarded for this session nursing CEs

Track: Financial
Audience: | HH | HOS | NUR | PHY | PD | TH