• Elizabeth Brogdon, Palmetto GBA • MaKisha Pressley-Callaham, Palmetto GBA • Cara Mia Wilkins, Palmetto GBA
Join Palmetto GBA representatives during this session to get the most up-to-date information on the forthcoming Review Choice Demonstration (RCD). Additionally, this session will teach providers how to effectively and compliantly manage a Plan of Care for your outpatients. Plus, don't miss this opportunity to get your questions answered from Florida's Medicare Administrative Contractor.
RCD Implementation Tips and Tricks from Operational Perspectives
• J’non Griffin, Home Health Solutions – A Simione Coding Company • Debra Grott, Comprehensive Home Care of Broward • Kim Wilkerson, Home Health Solutions – A Simione Coding Company
We can try to pretend it isn’t going to happen but — like it or not — Medicare’s Review Choice Demonstration (RCD) is coming soon! The phased-in approach has already begun and providers should already be taking advantage of the opportunity to begin submitting claims. States that have gone before Florida were not given such a tremendous opportunity to test the waters before diving into the deep end of the pool. This session will review the pre-claim submission and review process — including what Palmetto GBA is looking for in the claim — from the provider’s perspective. There will also be opportunity to discuss the good, the bad, and the ugly, along with lessons learned so far. Attendees will obtain a better understanding of the pre-claim review process, and also have a better understanding of operational efficiencies you can implement now to ensure compliance. There will be ample time for Q&A, too.
PDGM Maintenance Therapy Program Update
• Arnie Cisneros, Home Health Strategic Management
Home health programming has changed under the Patient-Driven Groupings Model (PDGM), and modifications to how we develop and deliver rehab services have been a primary reform focus. When transitioning from the Prospective Payment System (PPS) model — in which rehab visits were the primary payment factor — to the PDGM programs that are based on clinical acuity, therapy care plans have been all over the map. By trading rehab volume for content value, the PDGM has altered the therapy care landscape for all home health episodes and, in many cases, maintenance programs have been lost in the shuffle. During this session, we will discuss how maintenance episodes can be optimized under the PDGM, and how they differ from PPS-era programs. Under the PDGM, rehab programming should follow structural guidelines, including Start of Care Functional Independence Levels, and should be managed through an in-agency approach with ongoing rehab reporting. We will review these and other essential elements of maintenance therapy development and delivery under the PDGM during this progressive presentation.
Discover How a Simple But Well-Defined QAPI Program Can Help Your Agency Improve Outcomes While Achieving Compliance
• Sharon Litwin, Healthcare Provider Solutions
An effective quality program is a key component to a well-run organization. This session will focus on understanding the Quality Assurance and Performance Improvement (QAPI) Conditions of Participation (CoPs) and knowing the rules for the condition. During this session, we will review the steps for building a successful QAPI program, as well as developing action plans that ensure your QAPI program is effective. Join us to discover how a simple but well-defined QAPI program can help your agency improve outcomes while achieving compliance.
COVID-19 Pandemic and Vaccine Opportunities
• Theresa Gates, Beyond Home Health Care Services
As the country responds to coronavirus disease 2019 (COVID-19), the role of the home health industry in ensuring the delivery of safe home health care has not been fully appreciated by our health care community and governing regulatory bodies. Various elements contribute to the problems home health agencies have encountered in being able to meet the needs of this patient population including challenges with obtaining and sustaining adequate personal protective equipment (PPE), nursing shortages, and lack of adequate resources for employee and patient COVID-19 testing supplies.
As we journey through the response phase of this pandemic emergency, this session will discuss the importance of agencies continuing to have a monitoring and control plan to ensure staff and patient safety and delivery of patient care. We will also discuss the importance of providers staying abreast of the most up-to-date advances in precautions, treatments, and control mechanisms within their clinical operations to minimize the spread of COVID-19. Lastly, we will discuss the latest information related to vaccines, their effectiveness, and steps we can take as home health providers to participate in this community-wide mission to distribute these vaccines safely and effectively.
Paying the Piper: Repaying Accelerated and Advanced Payments and Reporting on Provider Relief Funds
• Melinda Gaboury, Healthcare Provider Solutions
While providers were afforded some breathing room during the pandemic, through payments issued under the Accelerated and Advanced Payment (AAP) program, providers must ensure that they understand the recoupment of the AAP and how that will impact cash flow next year. The provider relief funds also have mandatory reporting requirements that have been adjusted several times and now have definite reporting requirements for 2021. This session will bring you up to speed on the terms of repayment for AAP and provide the latest on reporting use of the provider relief funds. An updated tool from the National Association for Home Care & Hospice (NAHC) will be reviewed that will help you comply with the reporting requirements.