Part III: Why Medicare Advantage Should Be on the Hospice Radar Screen

Part III: Why Medicare Advantage Should Be on the Hospice Radar Screen

Wednesday, September 11, 2019; 2:00-3:00 pm eastern

Description:

Recent growth in Medicare Advantage penetration, and rules that will allow for greater flexibility for Medicare Advantage health plans to play a role in end-of-life care, have sparked debate amongst hospice providers. Join us for this webinar to learn more about Medicare Advantage, and some of the proposed changes that could impact hospices in the future.

Learning Objectives:

  • Outline key elements of current Medicare Advantage plans and how they interface with hospice care.
  • Identify recent changes that allow Medicare Advantage plans to provide non-medical services and services focused on palliative care.
  • Articulate the current status of the Value-Based Insurance Design Model and how it may impact hospices.

Faculty:

Bill Musick, President and Principal, Integriti3D

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Commercial Support Provided by:

Hospice Governance Academy logo

 

 


Hospice Governance Academy by Integriti3D-http://integriti3d.com/hospice-governance-academy

Part II: Success Under Medicare Advantage for Home Health

Part II: Success Under Medicare Advantage for Home Health

Thursday, August 29, 2019; 2:00-3:00 pm eastern

Description:

Medicare Advantage (MA) plans are steadily growing across the county. HHAs cannot solely depend upon traditional Medicare and must contract with MA plans. The first step to success Home health agencies must develop effective strategies to negotiate contracts with MA plans. Prepare for presentation and negotiation: in addition to knowing which traditional services to offer, agencies will need to present the specifics on the quality and value the MA plan can expect from the HHA. Consider non-traditional home care type services to offer that will benefit the patient and the MA plan that may be unique to the HHA. This session will supply you with the proper tools to prepare for and conduct contract negotiations for terms and conditions. You will also receive guidelines on how to measure success.

Learning Objectives:

  • Identify the value and quality benefits provided to the Medicare Advantage plan through the Plan’s use of your agency’s services.
  • Develop an effective plan for presenting your agency’s benefits during negotiating sessions including terms and conditions for such items as reimbursement and authorizations.
  • Provide the tools to develop a budget for the services covered by the contract as well as development of systems to monitor results.

Faculty:

Paul Giles, Director of Home Health Finance & Business Operations, Dignity Health


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Commercial Support Provided by:

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Part I: Medicare Advantage: Basic Overview for Home Health Providers

Part I: Medicare Advantage: Basic Overview for Home Health Providers

Wednesday, August 14, 2019; 2:00-3:00 pm eastern

Description:

Medicare Advantage (MA) plans continue to increase market share by recruiting beneficiaries away from fee-for-service traditional Medicare. This webinar is intended for providers needing a basic understanding of Medicare Advantage Plans or wanting to consider contracting with them. The webinar will explain the appeal of the MAs to beneficiaries, how MAs get reimbursed by CMS, and the new MA services that will be forthcoming. The webinar will give providers a better understanding of the different types of MA plan options available to the beneficiaries and the possible effects on provider contractual agreements with Medicare Advantage plans.

Learning Objectives:

  • Obtain an explanation of what is an MA plan and their appeal to beneficiaries.
  • Receive suggestions for providers contracting with MAs.
  • Explore the differences in plans and payment methods.

Faculty:

Thomas Boyd, MBA, CFE, CHFP, Vice President of Reimbursable Services, Simione Healthcare Consultants, LLC

 

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Commercial Support Provided by:

Your Funding Tree

Home Health PEPPER Report

Home Health PEPPER Report

Thursday, August 15, 2019; 11:30 am – 1:00 pm eastern

Description:

If you’re a home health provider, you know the importance of PEPPER (Program for Evaluating Payment Patterns Electronic Report). This session will review the Q4CY2018 Home Health PEPPER, which was released in July 2019. Attendees will learn about the target areas and how to read the reports, as well as explain how the PEPPER can and should be utilized. You will also receive important guidance for how to improve in the target areas.

Learning Objectives:

  • Explain how to obtain the PEPPER
  • Discuss PEPPER target areas
  • Interpret the PEPPER findings for their hospice
  • Explain how the PEPPER can be utilized

Faculty:

  • Kim Hrehor, Program Director, RELI Group
  • Katie Wehri, Director of Home Care & Hospice Regulatory Affairs, NAHC

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Commercial support by: 

Homecare Homebase Logo

PDGM: Billing In-Depth

PDGM: Billing In-Depth

Thursday, September 26, 2019; 2:00-4:00 pm eastern

Description:

PDGM brings many changes to the Billing process, including almost doubling the volume of claims to be sent and multiple changes to the data on the claims.  This webinar will take you through details of billing under PDGM and will review the process that the Medicare MAC will go through to calculate the HIPPS code and pay the claims.  Lastly, this webinar will cover the proposed changes from a RAP to NOA for 2021.

Faculty:

  • Melinda Gaboury
  • Aaron Little

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Partnering State Association Members
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Commercial Support Provided by:

Manchester Speciality Programs Insurance

PDGM: Coding In-Depth

PDGM: Coding In-Depth

Thursday, September 12, 2019; 2:00-4:00 pm eastern

Description:

This webinar will delve into the deep recesses of ICD-10 coding under PDGM, including the HIPPS code calculation and how it is impacted by coding both the primary diagnosis and the comorbidities. This webinar will provided the latest updates from the 2020 proposed rule regarding coding for PDGM.

Faculty:

  • Melinda Gaboury
  • Sharon Litwin

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Partnering State Association Members
REGISTER HERE

 

Commercial Support Provided by:

Your Funding Tree

Medicare Home Health Proposed Rule 2020

Medicare Home Health Proposed Rule 2020

Thursday July 18, 2019 from 2:00 to 3:00 Eastern

Last week, CMS issued the proposed rule for the 2020 payment model, PDGM, including rates of payment that would start January 1, 2020. Unfortunately, the proposed rule still includes a significant “behavioral adjustment,” which amounts to an 8.01% reduction in base payment rates calculated on the assumption that HHAs will modify service and documentation practices in ways that would increase Medicare spending. 

The proposed rule also offers some minor tweaks in the payment model and sets out 2020 payment rates for the first time. In addition, the proposed rule includes unrelated adjustments in other rules affecting home health, including the 2021 home infusion therapy benefit, quality measures and the Home Health Value Based Purchasing Demonstration program. 

NAHC is working in partnership with Congress to secure sensible payment reforms and to protect the 3.5 million Medicare beneficiaries who receive home health services throughout the country. 

Attend this webinar to learn more about the new proposed rule and how it will directly affect your Medicare home health agency. In addition, Mr. Dombi will explain how NAHC is fighting the behavioral assumptions and what you can do to help. 

Program Faculty:

  • William A. Dombi, Esq., President, NAHC
  • Mary Carr, Vice President, Regulatory Affairs, NAHC

Registration:

Live Event and Recording Registration are FREE

Recording URL: https://nahc.webex.com/nahc/onstage/playback.php?RCID=340feff4b95ad708e85e5fab5cd51a8d
Link to Handout: https://www.nahc.org/wp-content/uploads/2019/07/WebEvent_19-07-18-1400_Handout.pdf

2019 Home Care & Hospice Convention and Expo

2019 Home Care & Hospice Conference and Expo

October 13-15 2019

Foresight: Care for the Future

Americans have always been pioneers and explorers and nowhere is that more true than in the Pacific Northwest, where countless ambitious dreamers boldly set out on a path of discovery, from Lewis and Clark to the titans of the tech industry who are building the world of tomorrow right now.

Join us in Seattle, Washington, this October as the National Association for Home Care & Hospice explores “Foresight: Care for the Future.”

Explorers are leaders and risk takers. They have a vision for the future, and they help others see and believe their vision. Our role as pioneers and explorers is to help others understand that home care and hospice are “Care for the Future.”

Join NAHC and hundreds of your peers to explore the pioneering spirit of home care and hospice providers.

Learn more & register!

Emergency Preparedness Series: Development of Policies & Procedures (Part 3 of 4)

Emergency Preparedness
Four-Part Series

Development of Policies & Procedures
Tuesday, June 18, 2019, 1:00-2:00 pm eastern

Agencies continue to struggle with the development of a disaster preparedness plan that will not only be in compliance, but realistic in an event. Areas of weaknesses in the process have been identified by CMS and accrediting bodies. On top of that, there were changes made to regulations at the end of 2018 and appeared in the 2019 interpretive guidelines. This series of  one-hour webinars will provide in-depth knowledge of the requirements that home health and hospice organizations are subject to, with specific focus on: an overview of the regulations, starting the agency-specific plan, building the plan, development of policies and procedures, communication, and testing and training.

This webinar series is in partnership with the National Association for Home Care & Hospice.

Learning Objectives:

  1. Patient Classification Systems
  2. Transportation Classifications
  3. Surge Capacity
  4. HIPAA/IT
  5. Tracking Patients and Staff
  6. Roles and Definitions
  7. Organizing the plan

Faculty:

Barbara B. Citarella RN, MS NHDP-BC, RBC Limited Healthcare & Management Consultants

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Emergency Preparedness Series: Starting and Building the Plan (Part 2 of 4)

Emergency Preparedness
Four-Part Series

Starting and Building the Plan
Tuesday, June 11, 2019, 1:00-2:00 pm eastern

Agencies continue to struggle with the development of a disaster preparedness plan that will not only be in compliance, but realistic in an event. Areas of weaknesses in the process have been identified by CMS and accrediting bodies. On top of that, there were changes made to regulations at the end of 2018 and appeared in the 2019 interpretive guidelines. This series of  one-hour webinars will provide in-depth knowledge of the requirements that home health and hospice organizations are subject to, with specific focus on: an overview of the regulations, starting the agency-specific plan, building the plan, development of policies and procedures, communication, and testing and training.

This webinar series is in partnership with the National Association for Home Care & Hospice.

Learning Objectives:

  1. Four Phases of Emergency Management
  2. Incident Command System
  3. Hazard Vulnerability Assessment
  4. Infection control and prevention
  5. Continuity of Operations (Defining Essential Function, Succession Planning, Human Resources, Alternate Location, Defining Patient Populations, and Data Management)

Faculty:

Barbara B. Citarella RN, MS NHDP-BC, RBC Limited Healthcare & Management Consultants

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