Home Health Payment Summit

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Home Health Payment Summit

Product Code: HHP08172021--

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Home Health Payment Summit

Tuesday, August 17—Wednesday, August 18, 2021 | Las Vegas, NV

Revenue cycle strategies for accurate reimbursement

Secure your spot at the Home Health Payment Summit to receive top-notch education about how to earn accurate home health reimbursement and ensure your agency is set up for continued success under PDGM.

Join us for an in-person event at Caesars Palace in Las Vegas, August 17–18, 2021, for a conference focused on the top PDGM billing and payment concerns and updates. The introduction of the pandemic while PDGM was so new introduced many challenges for home health. Attend this conference for a look back at how PDGM is impacting agencies so far, and get the guidance you need to speed up your revenue cycle without compromising quality care or specificity in documentation.

Home Health Payment Summit will revamp your agency’s revenue cycle by tuning up your operational efficiencies and making sure that you are receiving timely payment and avoiding ADRs.

During this event, you will receive guidance on building a healthy revenue cycle and on compliance management. Manage your documentation and operational processes to maximize your productivity and payment while maintaining quality outcomes.

You will leave this event with confidence about achieving accurate payment and a deeper understanding of what steps to take to ensure proper claims. This is a conference you will not want to miss!

After attending this event, you will be able to:

  • Get full and accurate Medicare payments
  • Audit your documentation for compliance at all key PDGM touch points
  • Speed up the billing cycle to get paid faster
  • Avoid the top PDGM billing and payment concerns
  • Use data to create strategies for future success
  • Work with Medicare Advantage plans to ease the payment process


Choose a pre-conference session for additional insight!

Compliance Best Practices from Intake to Discharge

During this one-day preconference you’ll receive expert guidance on how to implement processes and documentation strategies from intake to discharge to ensure compliance. Join our expert speakers and learn how to gather accurate information and detailed documentation at every step, establish processes that safeguard claims and prevent surveyor scrutiny, address and avoid top claim denials and survey deficiencies, and address the top 10 documentation mistakes before they result in a denied claim or ADR. Finally wrap-up with an interactive session in which you’ll work through scenarios to ensure you’re securing accurate and compliant documentation. Thorough and reliable processes have never been more important for the success of your agency!

Home Health Payment Summit is back!

DecisionHealth anticipates a wonderful, responsible in-person reunion in August 2021. Please know we will continue to closely monitor the guidance and advisements for meetings as outlined by the CDC and the WHO, as well as state and local mandates. Details regarding our safety measures will be shared as we get closer to the event date. We hope you will plan to join us.

As always, the Home Health Payment Summit provides continental breakfast, lunch, food and beverages during networking breaks, and an opening night cocktail reception, all included with registration. You will also have access to an app that includes access to all session materials, a session planner, and unparalleled networking with your peers.

We hope to see you in person once again in Vegas!

Home Health Payment Summit

Agenda

Pre-Conference — Compliance Best Practices from Intake to Discharge: Monday, August 16, 2021

8:10 a.m. – 9:10 a.m.

Compliance Best Practices from Intake to Discharge

REGISTRATION & CONTINENTAL BREAKFAST

9:10 a.m. – 10:25 a.m.

Working Together: Navigating Change and Challenge as a Team
Dee Kornetti, MA, PT, HCS-D, HCS-C, COS-C, Chief Operations Officer – Kornetti & Krafft Health Care Solutions
As a home health professional, you’ve come to expect change—new regulations, new interpretations, new guidance, new codes, new payment requirements. Then there are the unexpected challenges such as a natural disasters or pandemics, and all the complications they bring. The more everyone in your agency can work together, across departments, the stronger you can be in adapting to change. Learn how to support one another and thrive in uncertain times.

Tool: Agency interdepartmental compliance checklist

10:25 a.m. – 10:45 a.m.

NETWORKING & REFRESHMENT BREAK

10:45 a.m. – 12:00 p.m. 

From Intake to Discharge: Establish Processes That Safeguard Claims and Prevent Survey Scrutiny
Arlene Maxim, RN, HCS-C, Home Health and Hospice Expert – A.D. Maxim Holdings, LLC
Thorough and reliable processes have never been more important for the success of your agency. Learn how to gather accurate information and detailed documentation at every step and you will ensure that all aspects of care run smoothly, from intake to discharge.

Tools: Re-engineering discharge (RED) for home health & Enhanced intake process form

12:00 p.m. – 1:00 p.m.

NETWORKING LUNCH—Provided

1:00 p.m. – 2:15 p.m 

Address and Avoid Top Claim Denials and Survey Deficiencies
Robert W. Markette Jr., JD, CHC, HCS-C, Attorney – Hall, Render, Killian, Heath & Lyman
A denied claim is the last thing you want to see after you’ve already spent time and resources delivering care. And survey deficiencies can be even more devastating. You can head off future trouble by learning from the causes of the most common home health claim denials and survey deficiencies. Addressing these issues before you drop the claim or greet a surveyor at the door will help safeguard reimbursement and prevent future headaches.

2:15 p.m. – 2:35 p.m.

NETWORKING & REFRESHMENT BREAK

2:35 p.m. – 3:50 p.m. 

Ensure Compliance, Avoid Top 10 Documentation Mistakes
Sharon Harder, President – C3 Advisors, LLC
Compliant documentation demonstrates eligibility, identifies the skilled care your patients require, and ensures ethical reimbursement. Poor documentation can undermine all the work your agency does to provide care for patients. Learn steps you can take to avoid common documentation pitfalls.

3:55 p.m. – 5:10 p.m.

Interactive Session: Test Your ADR Response Skills, Secure Proper Documentation
Sharon Harder, home health and hospice compliance leader, president of C3 Advisors LLC
Dee Kornetti, MA, PT, HCS-D, HCS-C, COS-C
Arlene Maxim, RN, HCS-C
Put your knowledge to the test in this interactive session on managing ADRs. Break into groups with your fellow attendees to work through a scenario to secure accurate and compliant documentation.

Tool: Patient-centered care planning form


 

Main Conference Day 1: Tuesday, August 17, 2021

9:15 a.m. – 10:30 a.m.

Speed Up RAP Submissions, Achieve Revenue Cycle Success
Melinda Gaboury, COS-C, Chief Executive Officer
Time is valuable under PDGM, and this session will explore how to tune up each step in the revenue cycle to address the shortfalls that can slow claims processing and submission. We’ll review the latest RAP requirements in 2021 (and changes ahead in 2022), plus detail changes related to final claim billing.

Tool: Audit tool for use prior to billing final claims

10:30 a.m. – 10:50 a.m.

NETWORKING & REFRESHMENT BREAK

10:50 a.m. – 12:05 p.m.

State of Home Health: Life After the Pandemic
William “Bill” Dombi, Esq., President – National Association for Home Care & Hospice (NAHC)
Get the inside scoop from one of the industry’s top advocates. NAHC’s President Bill Dombi shares the latest updates on how the pandemic has affected the home health industry and the new opportunities offered with the growing attention on care at home. Tap into the latest lobbying efforts to build on home healthcare access through CMS, as well as the kinds of partnerships possible with hospitals and skilled nursing facilities.

12:05 a.m. – 1:05 p.m.

NETWORKING LUNCH—Provided

1:05 p.m. – 2:20 p.m.

Walk Away With Lessons Learned From RCD, Ensure Claims Stand Up to Government Scrutiny
Annette Lee, RN, MS COS-C, HCS-D, Founder – Provider Insights, Inc.
Revamp your documentation strategies to avoid ADRs and streamline processes to get claims paid faster. Learn strategies from agencies that were part of the Review Choice Demo on how to conduct effective self-assessments to spotlight coverage criteria and build a culture of compliance. Ensure your claim has everything needed to stand up against any kind of government review.

Tool: RCD checklist to be used as a self-assessment for agencies to look at audit risk

2:20 p.m. – 2:40 p.m.

NETWORKING & REFRESHMENT BREAK

2:40 p.m. – 3:55 p.m.

Connecting the Dots for Proper Payment: Coding + OASIS + Plan of Care
Karen Tibbs, RN, MS, HCS-D, COS-C, Senior Quality Manager – OASIS & Coding, McBee Associates
The diagnosis codes plus responses to specific functional OASIS items drive your episode payments under PDGM. Learn the documentation required to support proper reimbursement and avoid regulatory scrutiny. Understand how to use the plan of care to connect the patient’s assessment, documentation, and delivery of care. Discover methods to improve clinician accountability for timely, accurate, and complete patient information.

Tool: Clinician documentation consistency checklist

4:00 p.m. – 5:15 p.m.

The PDGM Data Story: Take a Look Back and a Peek Into the Future
Chris Attaya, Vice President, Product Strategy – Strategic Healthcare Programs
What story do the data tell about home health agency behavior during the pandemic and early adoption of PDGM? Gain some insight into how PDGM has shaped the home health industry and how the pandemic has created chaos in the numbers. Then, get a peek into what you can expect in terms of future trends.

5:15 p.m. – 6:00 p.m.

NETWORKING RECEPTION


 

Main Conference Day 2: Wednesday, August 18, 2021

8:15 a.m. – 9:15 a.m.

CONTINENTAL BREAKFAST

9:15 a.m. – 10:30 a.m.

Expert Panel Q&A
Join our speakers for a lively panel Q&A where we will take a look at how home health payments have changed in the last few years and how agencies can best position themselves for future accurate payments.

10:30 a.m. – 10:50 a.m.

NETWORKING & REFRESHMENT BREAK

10:50 a.m. – 12:05 p.m.

Implement Key Checks & Balances for Proper Payment
Sherri Parson RN, HCS-D, HCS-O, COS-C, BCHH-C, HSC-H, Post-Acute Education Senior Manager with McBee Associates, Inc.
Walk through the key documentation touch points that drive PDGM payments. Make sure you have the checks in place related to code choice, including how to handle unacceptable codes, primary diagnosis designations, and comorbidity listings. Take a look at examples of where coders and clinicians continue to get tripped up when completing these key touch points.

12:05 a.m. – 1:05 p.m.

NETWORKING LUNCH—Provided

1:05 p.m. – 2:20 p.m.

How to Get Paid by Medicare Advantage Plans
Michaell Puskarich – McBee
The growth of Medicare Advantage (MA) plans offers a wealth of new opportunities for home health agencies. But these plans don’t always follow the same rules as traditional Medicare, so ensuring accurate and timely payments will require some tweaks in your processes. Find out how you can adapt your processes to ensure speedy MA payments.

2:20 p.m. – 2:40 p.m.

NETWORKING & REFRESHMENT BREAK

2:40 p.m. – 3:55 p.m.

Shore Up Your Documentation, Avoid ADRs and Denials
Sharon Harder, President – C3 Advisors, LLC
Learn the most common denial codes, as well as the key documentation steps you need to take to keep the money your agency deserves for quality home health services. Tool: Beginning the process for defensive documentation

Tool: Beginning the process for defensive documentation

4:00 p.m. – 5:10 p.m.

Strategies for Measuring and Cutting Costs While Delivering Quality Care
Karen Tibbs, RN, MS, HCS-D, COS-C, Senior Quality Manager – OASIS & Coding, McBee Associates
This session will take a hard look at the costs of your care. You’ll compare the financial impact of care based on visit utilization, including telehealth practices. You’ll also take a look at PDGM visit use analytics, with a focus on financial and quality benchmarks, and measure the costs of unwarranted variables of care.

5:10 p.m.

Conference Adjourns

Home Health Payment Summit

Speakers

Chris Attaya Chris Attaya, MBA, brings more than 28 years of experience in the home health and hospice industry, achieved through a series of executive and consulting positions. Attaya joined SHP in 2014, and is responsible for product development and client relationships to help clients achieve increased operational and financial performance through the use of SHP’s industry-leading analytics platform and benchmark data. Prior to SHP, he was the CFO at the Visiting Nurse Association of Boston and worked at Partners Health Care at Home as CFO and CEO.
William 'Bill' Dombi, Esq. William “Bill” Dombi, Esq., is the president of the National Association for Home Care & Hospice (NAHC). He previously served as the vice president for Law at NAHC. As a key part of his responsibilities, Dombi specializes in legal, legislative, and regulatory advocacy on behalf of patients and providers of home health and hospice care. With nearly 40 years of experience in healthcare law and policy, Dombi has been involved in virtually all legislative and regulatory efforts affecting home care and hospice since 1975, including the expansion of the Medicare home health benefit in 1980, the formation of the hospice benefit in 1983, the institution on Medicare PPS for home health in 2000, and the national health care reform legislation in 2010. With litigation, Dombi was lead counsel in the landmark lawsuit that reformed the Medicare home health services benefit, challenges to HMO home care cutbacks for high-tech home care patients, lawsuits against Medicaid programs for inadequate payment rates, along with current lawsuits challenging the Medicare home health face-to-face encounter rule and the Department of labor changes to the overtime rules under the Fair Labor Standards Act.
Melinda A. Gaboury Melinda A. Gaboury, COS-C, with more than 28 years in home care, has over 18 years of executive speaking and educating experience, including extensive day-to-day interaction with home care and hospice professionals. She routinely conducts home care and hospice reimbursement workshops and speaks at state association meetings throughout the country. Gaboury has profound experience in Medicare PPS training, billing, collections, case-mix calculations, chart reviews, and due diligence. UPIC, RA, ADR, & TPE appeals with Medicare MACs have become the forefront of Gaboury’s current impact on the industry. She is currently serving on the NAHC/HHFMA Advisory Board and Work Group and is associate director on the Home Care Association of Florida Board of Directors. Gaboury is also the author of the Home Health OASIS Guide to OASIS-D1.
Sharon Harder Sharon Harder is the President of C3 Advisors, LLC. As the President of C3 Advisors, LLC, Harder oversees all home health and hospice client projects the majority of which are focused on compliance issues including ongoing scheduled compliance audits and preparation of responses to investigations and data requests. She works with several compliance committees and attorneys for client organizations on home health and hospice compliance matters.

Over the last 10 years Harder has helped hundreds of home health, hospice and long-term care providers with process redesign and efficiency improvement, compliance reviews, pre-acquisition due diligence, operational reporting and technology optimization.
Dee Kornetti, MA, PT, HCS-D, HCS-C, COS-C Dee Kornetti, MA, PT, HCS-D, HCS-C, COS-C is the Chief Operations Officer of Kornetti & Krafft Health Care Solutions. Dee Kornetti, a physical therapist for 30 years, is a past administrator and co-owner of a Medicare-certified home health agency. Kornetti now provides training and education to home health providers through a consulting business, Kornetti & Krafft Health Care Solutions, with her business partners Cindy Krafft and Sherry Teague, where she serves as its chief operations officer. Kornetti is nationally recognized as a speaker in the areas of home care, standardized tests and measures in the field of physical therapy, therapy training and staff development, including OASIS, coding, and documentation, in the home health arena. Kornetti is the current president of the American Physical Therapy Association’s Home Health Section and serves on the APTA’s national Post-Acute Work Group. She serves as the president of the Association of Homecare Coding and Compliance, and a member of the Association of Home Care Coders Advisory Board and Panel of Experts. She has served as a content expert for standard setting for DecisionHealth’s Board of Medical Specialty Coding (BSMC) home care coding (HCS-D) and OASIS (HCS-O) credentialed exams.
Annette Lee Annette Lee, RN, MS, COS-C, HCS-D, founder of Provider Insights, Inc., is a registered nurse with a master’s in healthcare administration. Practicing since 1990, the majority of her nursing experience has been in home health. For over a decade, she worked with the CMS intermediary, where she provided review and education on home health and hospice payment and documentation. Lee then founded Provider Insights, Inc. to provide consultation and education regarding Medicare reimbursement issues and effective documentation strategies, assisting providers with ADRs and appeals. Today, she marries her real-world experience and her inside knowledge of Medicare to ensure providers can meet CMS requirements and ensure compliant, efficient operations.
Arlene Maxim, RN, HCS-C Arlene Maxim, RN, HCS-C is a Home Health and Hospice Expert of A.D. Maxim Holdings, LLC. Arlene Maxim, RN, HCS-C is a home health and hospice expert with A.D. Maxim Holdings, LLC. Maxim is a frequently sought-after speaker in all areas of patient care quality, analysis, and administrative functions in the post-acute healthcare world. She is a Board Member and Vice Chair for the Association for Home Care Coding and Compliance. With more than 40 years of nursing experience, Arlene previously co-founded regional multimillion-dollar Medicare certified home health care companies, hospital-based home care and hospice companies, and transitional care programs. Her working career has included direct patient care progressing to clinical management oversight, executive level operations in hospitals and post-acute care settings, risk management in multiple health care settings, transitional care management, as well as, providing strategy for organic growth and acquisitions across post-acute settings.

Arlene currently leads innovative change across the health care continuum. She has developed and implemented multiple post-acute care programs working closely with multiple hospitals, home care and hospice agencies, Accountable Care Organizations, etc. On a daily basis, these post-acute programs positively impact high quality care delivery while spending health care dollars wisely. Arlene’s energy, dedication, and passion continue to positively change the post-acute world of health care.
Sherri Parson Sherri Parson RN, HCS-D, HCS-O, COS-C, BCHH-C, HSC-H, Post-Acute Education Senior Manager with McBee Associates, Inc., brings more than 25 years of healthcare experience to her role at McBee as Post-Acute Education Senior Manager. Earning her RN license in 1994, Sherri started her career providing direct care first in hospital settings, including Medical Surgical, ICU and Interventional Radiology before transitioning to home health. Sherri has been an in-home provider of skilled-nursing services, as well as developing expertise in quality assurance, diagnosis coding, OASIS review and regulatory compliance. Sherri further developed her home health expertise as a therapy manager, staff educator, quality metric analysis and development expert. Sherri’s vast experience in home health prepared her for her current role where she is responsible client and staff education and development of McBee Post-Acute Academy. In addition to providing staff and client training and education, Sherri travels around the country to present at state home care association meetings, national events, and to provide on-site, in-service programs to agencies. Other accomplishments include adjunct professor and developer of a college Home Health Coding Course. Sherri has authored numerous articles and is frequently sought after for her expertise by publications such as Home Health Line, Diagnosis Coding Pro for Home Health, Home Care Week by AAPC, OASIS & Outcomes Solutions and Home Healthline. Sherri currently serves on the AHCC’s Board of Medical Specialty Coding and Compliance Certification HCS-H Committee.
Michael Puskarich Michael Puskarich has three decades of experience with a proven history of success in numerous healthcare delivery settings, such as acute care, extended care, home health, hospice, physician practice, national, mental health, and not-for-profit providers. Before joining McBee, he was the executive director for Orlando Health Home Care, and before that he was the CEO of Kenosha Visiting Nurse Association. He has expertise in the development of cost reduction reforms such as accountable care organizations, initiatives to reduce the spend within healthcare, and the behavioral health links to care delivery platforms, as well as strategic planning, information systems and processes, regulatory changes, and fiscal management. Puskarich has been recognized for outstanding leadership and has been an active advocate for the home care industry.
Karen Tibbs Karen Tibbs, RN, MS, HCS-D, COS-C, is currently the quality and education manager, OASIS and coding, for McBee. She has 22 years of home care experience with extensive knowledge in medical review, regulatory compliance, ICD-10, and OASIS accuracy. Tibbs is skilled in quality management, regulation and compliance, ICD-10 code assignment, OASIS accuracy, case management, adult education, and healthcare management. She holds a master's degree focused in healthcare quality from The George Washington University.

Home Health Payment Summit

Location

Caesars Palace Las Vegas
3570 Las Vegas Boulevard, South
Las Vegas, NV 89109

  • Room rate: $135 + $35 resort fee/night
  • Hotel cut-off date: Friday, July 23, 2021. Hotel rooms may sell out earlier than the cut-off date, so book early!
  • Reservation Center: 1-866-227-5944 and reference the DecisionHealth Home Health Payment Summit (Group Code: SCHHC1)
  • Book on line here: https://book.passkey.com/go/SCHHC1 

For room reservations, contact the hotel directly and mention you are attending the DecisionHealth Payment Summit to qualify for the special discounted rates (+$35 daily resort fee). Note: Only a limited block of rooms has been reserved. To receive the discounted rates, reservations must be made by Friday, July 23, 2021, or until the room block is full. Thereafter, reservations will be taken on space and rate availability.

Simplify Compliance/DecisionHealth has no affiliation with any third-party companies or travel assistance providers. Rooms should be booked directly with the event hotel using the official information provided on the website and in the brochure.

Home Health Payment Summit

Pricing

Retail price: $1,099.00
Early Bird price: $999.00
PreCon + Main Con (Kit): $1,299.00
PreCon + Main Con (Kit) Early Bird: $1,199.00

Early bird deadline: Tuesday, May 11, 2021

Home Health Payment Summit

Sponsors

For information on exhibit and sponsorship opportunities, please contact Regina Dexter at RDexter@decisionhealth.com or
1-800-727-5257 x6061.

Home Health Payment Summit

Continuing Education

Pre-Conference: Compliance Best Practices from Intake to Discharge

Home Care Specialist—Compliance (HCS-C)

The Home Care SpecialistCompliance (HCS-C) credential is earned by home care professionals skilled in establishing, implementing, and monitoring a home health agency’s compliance program, specifically with state and federal regulations related to agency operations. This virtual event has been approved by the Board of Medical Specialty Coding & Compliance for 2 HCS-C CEUs.

Home Care Coding Specialist—Diagnosis (HCS-D)

The Home Care Coding Specialist—Diagnosis (HCS-D) credential is earned by professionals skilled in classifying medical data from home health patient records. Coding specialists review patients’ records and assign numeric codes for each diagnosis. This virtual event has been approved by the Board of Medical Specialty Coding & Compliance for 6 HCS-D CEUs.

Home Care Clinical Specialist—OASIS (HCS-O)

The Home Care Clinical SpecialistOASIS (HCS-O) certification is held by clinicians who have demonstrated the clinical skills and judgment necessary to assess a patient’s condition correctly. HCS-O credential holders are healthcare professionals with specialized knowledge in applying clinical assessment findings to OASIS items. This virtual event has been approved by the Board of Medical Specialty Coding & Compliance for 2 HCS-O CEUs.

Main Conference

Home Care Specialist—Compliance (HCS-C)

The Home Care Specialist—Compliance (HCS-C) credential is earned by home care professionals skilled in establishing, implementing, and monitoring a home health agency’s compliance program, specifically with state and federal regulations related to agency operations. This virtual event has been approved by the Board of Medical Specialty Coding & Compliance for 7 HCS-C CEUs.

Home Care Specialist—Diagnosis (HCS-D)

The Home Care Coding Specialist—Diagnosis (HCS-D) credential is earned by professionals skilled in classifying medical data from home health patient records. Coding specialists review patients’ records and assign numeric codes for each diagnosis. This virtual event has been approved by the Board of Medical Specialty Coding & Compliance for 2 HCS-D CEUs.

Home Care Clinical Specialist—OASIS (HCS-O)

The Home Care Clinical Specialist—OASIS (HCS-O) certification is held by clinicians who have demonstrated the clinical skills and judgment necessary to assess a patient’s condition correctly. HCS-O credential holders are healthcare professionals with specialized knowledge in applying clinical assessment findings to OASIS items. This virtual event has been approved by the Board of Medical Specialty Coding & Compliance for 2 HCS-O CEUs.

Exam Info

Want to learn more about getting a BMSC credential? Visit our BMSC Credential page to view the candidate handbook, browse study resources, and receive exam information.

Home Health Payment Summit

COVID Safety

Simplify Compliance places the highest priority on the safety of our guests. We will follow safety guidelines and advisements for meetings as outlined by the CDC and the WHO, as well as state and local mandates. In preparation for attendance at our events, we want to share the following measures to promote health and wellbeing.

  • At this time, all hotel guests are required to wear a mask while in public areas of the hotel and anywhere that social distancing measures cannot be met.
  • Meeting rooms will be set to comply with CDC, WHO, and applicable locally recommended social distancing guidelines.
  • Food service will follow the safety guidelines implemented by the hotel.

To view all the safety measures that Caesars Palace, Las Vegas, NV has implemented, please see the information listed on their website: https://www.caesars.com/health-and-safety 

Simplify Compliance will continue to monitor the COVID-19 environment, the recommended guidelines, and communicate adjustments to the onsite policies and procedures as we approach the live event date.