The implementation of PDGM in 2020 and no-pay RAPs in 2021 has rocked the home health revenue cycle and significantly impacted cash flow for traditional Medicare, Medicare Advantage and other governmental payers. This session will focus on preparing for the next evolution in the home health revenue cycle, which is the replacement of RAPs with the new NOA, effective 01/01/22. The session will offer the latest on NOA billing requirements and strategies for preparing revenue cycle workflows, assessing software vendor billing and reporting readiness, and providing workforce training. The session will also provide updates on other relevant evolving issues, including RCD, pre- and post-payment medical review activities by the MACs, and other program integrity activities. Revenue cycle KPIs and example dashboard management tools will also be shared. Read More

• Education

This session, a follow-up to a previous PDGM presentation by these three experts, will combine detailed PDGM data and trending with real world tactics and operational recommendations that participants can apply to their businesses. The faculty will: -provide the most current updates on national PDGM statistics and trends -share real working solutions to help attendees evaluate & succeed with the new payment model -share a revealing case study on one home care agency's experience and lessons learned -make the presentation interactive and engaging with the goal of sharing ideas and best practices to help all of us improve operations. This session is sponsored by WellskyRead More

• Education

Pre-claim review (PCR) has proven to be challenging for some agencies. This session will outline all of the steps needed to get your submission affirmed, including Face-to-Face documentation requirements, the clinical documentation needed to support medical necessity and homebound, how to prepare the information for submission, eServices and the steps for submission, and getting that DCN, UTN, and Decision Letter. We will discuss lessons learned and tips on how to implement processes in your organization for success. This session is sponsored by MAC Legacy

• Education

Two of the most pressing challenges facing providers going into PDGM were the transition to two 30-day billing periods within each 60-day episode, and the change in the LUPA threshold from 5 visits in a 60-day episode to varying thresholds of 2-6 visits per each 30-day billing period. Historical data told us providers would face a difficult time managing varying LUPA thresholds within subsequent 30-day periods. 2020 CMS claims data proved this to be true. This session will focus on 2020 trends identified in subsequent 30-day period LUPA and strategies implemented to successfully manage and mitigate avoidable LUPAs in subsequent periods. This session is sponsored by McKesson Read More

• Education

This engaging session will explore the innovative approaches that can be utilized to leverage a hospice and home health organization's strengths and skills to transform and deepen effective partnerships with home care and long-term care facilities. Practical approaches will be shared that include the planning and development of a Facility Care Council with long-term care facilities, the unique role and voice of a Facility Council Advisor, therapeutic and support offerings, integration of community-based palliative care with home care, and strategic mapping to better understand the needs of your partners. Engagement strategies and metrics to align outcomes and expectations will also be explored.Read More

• Education