Presenters will review how agency outcomes affect Star Ratings under the Patient-Driven Groupings Model (PDGM). A case study will be presented focusing on care of the patient with a specific primary diagnosis and differences between caring for the patient under the Prospective Payment System versus PDGM. Key areas of focus will be managing inappropriate Low Utilization Payment Adjustments under PDGM, cost-effective approaches for improving functional status of patients under PDGM, and recommended metrics to track under PDGM.

How do we make a difference in our world and achieve a life that matters? By living intentionally, asking questions and connecting with others. Combining these topics will pave the way to a new you and create positivity in those around you, providing you with better relationships, improved teamwork in your agency, and overall success.

As the inception of Review Choice Demonstration approaches, agencies must begin to PROACTIVELY take the necessary actions to prepare for this demonstration. The Review Choice Demonstration will present challenges across all agency departments and can affect financials and sustainability in the market however, WE SHALL OVERCOME! This session will discuss the revenue cycle pain points of pre-claim review and discuss how YOU CAN TAKE CHARGE NOW and implement EFFECTIVE measures along with BEST practices to lead your agency towards higher affirmation rates.

Former Personal Care Assistant, now Savii CEO, Kristen Duell will guide attendees to help reduce agency turnover, boost retention, and keep growing your home care agency.
Get Savyy on our retention strategy!

In an industry which seems to increasingly live under the scrutinizing microscope of governmental oversight, one temptation all home health care agencies face is the de-humanizing of our clients. The need to document and report tends to cause us to see our human patients as another service to provide, the next appointment to keep, and/or the next project to mark as complete. In this session, Dr. John Aker will remind us that our patients are humans. By nature of their humanity, they are physical, mental, emotional, and spiritual creatures. Participants in this class will be challenged to adjust their mindset regarding the wholistic care that human beings require and will learn how to adapt their service delivery to include a renewed sensitivity to the whole person. Together we will learn about care that is intentionally provided with the whole person in mind, is the most effective way to deliver true, home-based, healthy, and concerned care for deserving seniors in our communities.

Medicare Advantage insurance plans can now add home care to their benefits. Learn what Medicare Advantage plans care about and how home care services can be important in their toolbox. Begin to develop your organization’s message to the health insurance audience…you can do it!

We don’t have to be superheroes or super human to be on top of our game! Cheryl Peltekis, RN, is a mom of five, and has also owned and operated a home health, hospice, and private duty agency since 1995. Her home health agency is Joint Commission-accredited and 5-star-rated and located in Pennsylvania, a non-Certificate of Need state, which is crawling with competition. This presentation tells her story and is one that will be familiar to many in the industry. Cheryl currently is on a mission of helping get over one million patients/clients identified to receive services by post-acute providers that deliver services in patients’ homes!

Agencies are having difficulty understanding, implementing, and/or documenting emergency preparedness (EP) to be in compliance with the Conditions of Participation (CoPs). This session will help put the pieces together so that you really understand what is needed. We will also talk about common areas in which agencies are receiving deficiencies and how to avoid those. We will discuss patient individualized EP plans, how to perform and document your drills, how to teach your staff and involve them in drills, how to teach and document patient’s roles in EP, and much more. Attendees will receive a “5 Star”-individualized patient EP plan.

Today’s home health providers, whether big or small, certified or private pay, already recognize the vital role data plays in determining competitive advantage. That same data-driven process plays a crucial role in creating an agile and adaptable sales strategy. Led by Mike Ferris, national hospice sales expert, and Holly Miller, Vice President of Sales and Marketing, attendees will learn five key advantages of applying the right sales analytics to accelerate growth and sustain high-performing sales teams.

This presentation will cover how revenue cycle departments will be impacted by the Patient-Driven Groupings Model (PDGM). It will review the key PDGM indicators that an agency must consider in order to monitor readiness for transition into the new payment model.

The Centers for Medicare & Medicaid Services (CMS) expects agencies to demonstrate an agency-wide continual assessment of your Quality Assurance and Performance Improvement (QAPI) program’s performance that is data-driven and involves processes of care, patient/family satisfaction levels, operations, or other performance indicators as identified by the agency. Does your QAPI program meet this expectation? This presentation will review CMS QAPI standards as well as discuss tips for a unified approach in order to achieve compliance along with strategies for developing a successful QAPI program.

Many agencies think business growth comes from hiring sales staff. But true momentum comes from building a strategic sales plan and implementing it methodically as a team. Shelle Womble will explain common pitfalls in approaching home care sales and marketing, walking agencies through why sales must be an ongoing process and explaining what a sales funnel is and how it can create accountability. She’ll teach agencies how to develop a referrals pipeline, as well as explain the benefits of customer relationship management (CRM) and how it can focus your agency’s sales staff to ultimately increase business revenue.

With the growing Medicare Advantage population, the Centers for Medicare & Medicaid Services (CMS) has finally added non-skilled in-home care such as personal care and housekeeping as a benefit. This historic long-awaited decision by CMS recognizes the importance of non-skilled home care and how it can bridge the gaps in home care. Learn how home care provider, SeniorBridge, is teaming up with Humana, one of the leading health care companies in the country, to provide high-quality home care to our most vulnerable population.

This session pulls together the major changes in home health regulations and quality measurement from the 2018 Conditions of Participation, OASIS-D, IMPACT Act quality measures, and the Home Health Compare Quality of Care Star Rating. Connect all four of these areas to successfully provide the highest quality care to your patients. Start with the comprehensive assessment, compensate for the deleted OASIS items, and use care planning to develop a focused home health Plan of Care to meet the patient’s identified needs and reduce hospitalization risk. Discuss strategies to implement care coordination and stimulate collaboration and teamwork between agency disciplines, the physician and patient/family to achieve patient-centered goals. Review the new quality measures in the IMPACT Act and discuss how to incorporate key best practices for these measures.

During this presentation, home care providers will understand how to successfully navigate through the complex response, investigation and reporting process under HIPAA’s Breach Notification Rule. As privacy and security breaches have become more frequent and larger, government fines and penalties have skyrocketed, with an all-time high fine of $16 million in 2018 coupled with a rigorous corrective action plan. Providers can no longer ignore or superficially treat even the smallest of breach incidents. The speaker will guide providers on how to take quick action following discovery of an incident, conduct an investigation, perform a risk assessment under the HIPAA Breach Notification Rule, make required notifications, and determine needed follow-up actions. The speaker will also discuss how an ounce of prevention is worth 16 million pounds of cure!

The most significant change in home care reimbursement in 20 years will go into effect in 2020. The Patient Driven Groupings Model (PDGM) is complicated, confusing, and overwhelming. The Centers for Medicare & Medicaid Services has provided some data on the revenue impacts and new PDGM components, but there is more to be considered. Revenue cycle, from beginning to end, will require changes to adapt. Preparing now is essential in being prepared for the PDGM onslaught.

The Patient-Driven Groupings Model (PDGM) will change the home care world as we have “known it” for over 20 years! Transformation like this will affect all elements of your operation and not just your financials. A revolution will need to occur even in the design and delivery of the actual care your patients receive. Little has been said in terms of clinical and operational specifics. How do you manage staff and programs successfully under PDGM while incorporating all the changes in a manner that is legal and ethical? As an example we know that under PDGM, clinicians (of all disciplines) will have to accomplish more in each and every visit. Certainly more than the typical “drive by visit” and even more than the “I have a skill documented, I am done here.” How are you going to manage this new reality and how will you appropriately and legally reimburse your staff for the additional time it will take to be successful under PDGM? The pressure to do more with less will impact every aspect or your organization. That pressure may lead many to simply try and pile all these changes on top of your current reimbursement model and polices, and then praying that your agency is not taken to court. This session will help you know what should be expected from your staff in many of PDGM’s critical operational areas and also offer you sound guidance regarding how to adapt in the right way.

With the growing Medicare Advantage population, the Centers for Medicare & Medicaid Services (CMS) has finally added non-skilled in-home care such as personal care and housekeeping as a benefit. This historic long-awaited decision by CMS recognizes the importance of non-skilled home care and how it can bridge the gaps in home care. Learn how home care provider, SeniorBridge, is teaming up with Humana, one of the leading health care companies in the country, to provide high-quality home care to our most vulnerable population.

This presentation is designed to simplify and help you feel more comfortable with the laws and options pertaining to marketing in the health care sector. The speaker will walk attendees through the federal Anti-Kickback Statute (AKS), Florida’s own AKS and Florida’s Patient Brokering Act, and discuss the various exceptions and safe harbors that exist. The speaker will also share thoughts on proper relationship structure, regulatory enforcement and potential pitfalls.

According to "Psychology Today", learning is a physico-chemical process. Our brains love novelty. Are you tired of lectures and traditional PowerPoint presentations? Want to learn in a fun relaxed atmosphere? Join us as we learn about the Patient-Driven Groupings Model (PDGM) using America’s favorite game show approach − PDGM Jeopardy. By using the traditional style Jeopardy board we will look into easy, or should I say $100 dollar topics, all the way up to hard $500 topics…you choose! Of course, the money isn’t real but the excitement is! Bashful? No problem, just watch and learn, but for the adventurous the interaction will be fun with some learning to be had as well! PDGM will not be fun and games when it arrives, but why not make learning about it fun? We will delve into the OASIS components of PDGM, questionable or non-valid primary codes, diagnoses groups, how the payment model works, and some of the financial impacts of the new proposed payment model. So, if you have been wanting to learn the basics of PDGM but thought it seemed overwhelming, then this game show approach, where we break it down fact by fact, this might be the game for you.

Join Anne Tumlinson for an interactive discussion with health plan and provider representatives. Understand the challenges health plans face and how providers can prepare to participate in new opportunities under expanded supplemental benefits.