How Home Health Rebasing Affects Case Mix: Changes to Home Health’s Clinical Care - On-Demand

Available ON-DEMAND

Presented:
Thursday, April 23, 2015

Presented by:
Joan L. Usher, BS, RHIA, COS-C, ACE, AHIMA-Approved ICD-10-CM Trainer

It’s easy to be confused by adjustments to case mix. Home health is looking at many changes as a result of rebasing—in the PPS final rule, CMS projects a $60 million net decrease in payments to home health agencies in 2015.

Understanding what these changes mean to your agency, in actual cost, will empower you to continue to provide care with confidence. Join home health expert Joan L. Usher, BS, RHIA, COS-C, ACE, AHIMA-Approved ICD-10-CM Trainer, to review the regulations and what they mean for you.

At the conclusion of this program, participants will be able to:

• Describe what diagnosis are affected by case mix changes
• Identify the changes to the 19 M questions that affect reimbursement
• Compare reimbursement for 2014 and 2015 after rebasing
• Apply the changes to Medicare coverage for ongoing insulin administration

Agenda

I. Variables changed in the case mix effective January 1, 2015

a. Common diagnoses that were affected by the change

II. Diagnostic categories in which points were given for case mix that no longer provide case mix reimbursement

a. Major categories, including blindness, pulmonary, behavioral health, and dementia

b. Categories that now have limited case mix points

c. Other clinical M questions that lost case mix points

 III. Case mix thresholds and how CMS recalibrated the case-mix weights in the final rule

a. Tables of comparisons for reimbursement for common home health diagnoses

IV. Insulin administration under Medicare in 2015

Bonus Materials/Tools

Six common diagnoses reimbursement comparison tables from 2014 and for 2015.

Who Should Participate

• Owners
• Administrators and Directors
• Managers
• Staff educators
• Billing leadership
• Quality department
• Coding
• Homecare nurses

Meet the Speaker

Joan L. Usher, BS, RHIA, COS-C, ACE, AHIMA-Approved ICD-10-CM Trainer, is president of JLU Health Record Systems in Pembroke, Massachusetts. Usher has more than 27 years’ experience as a consultant and is a nationally recognized expert in the field of ICD-9 & ICD-10-CM coding and health information management (HIM). She has taught ICD coding in home health for 17 years and has educated more than 15,000 people nationwide. Usher is a past president of the Massachusetts Health Information Management Association. Under her leadership, Massachusetts received four national awards from AHIMA in continuing education programs, support for accredited HIM education, legislative advocacy, and electronic communications.

Usher is one of Beacon Institute’s experts for our Ask-the-Expert membership benefits. She also provides a monthly ICD-10 coding column for our Homecare DIRECTION newsletter and speaks during many of Beacon Health’s successful webcast series. She has contributed to numerous national publications and is the author of HCPro’s ICD-9 Coding for Home Health: A Guide to Medical Necessity and Payment, ICD-10 Coding for Home Health: A Guide to Medical Necessity and Payment, and ICD-10 Essentials for Homecare: Your Guide to Preparation and Implementation.

Webinar system requirements and program materials:
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:

Browser: Microsoft Internet Explorer 6 or later, Firefox, Chrome, or Safari, with JavaScript enabled
Internet: 56K or faster Internet connection (high-speed connection recommended) 
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices

Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location.

COULDN'T LISTEN LIVE? 
No problem. The On-Demand version is also available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $199 value! 

PLEASE NOTE 
Participation in this webinar is just $199 per site. All materials must be retrieved from the Internet. 

Call your customer service representative toll-free 800-650-6787 or email customerservice@hcpro.com if you have questions.