Key to Success in a Post-COVID, PDGM, HHVBP World: Referral Management & Forecasting

  • Room: 122/123
  • Session Number: 101
Sunday, October 23, 2022: 2:50 PM - 3:50 PM

Speaker(s)

Faculty
Brian Lebanion MBA, CPC, RNC, HCS-O, HCS-D
Healthcare Consulting Manager
Wipfli

Description

Could the world of home health get any more challenging? With a reimbursement system dependent on data collection the affect of the recent global pandemic will be felt for years to come, impacting benchmarks and trends in care practices. Couple the pandemic after effects with the advent of the Home Health Value Based Purchasing system national rollout and ongoing refinements to the Patient Driven Groupings Model structure and the next few years for home health will require some adjusting; operationally and fiscally. What's the best plan of action to take for agencies seeking to exceed expectations in this new healthcare world? Taking a closer look at where it all begins - the referral. Rediscover how to examine a referral for level of care appropriateness to truly manage care practices and forecast the care path for each individual patient to achieve optimal outcomes and financial success.


Topic(s)


Methodology

Course Level: Intermediate; 1.2 Accounting CPEs (NASBA/FIN) 1 Nursing CNEs contact hours

Learning Outcomes

1. Assess referral streams, determine key factors in the referral acceptance process and determine
referral best practices to establish pathway to agency and patient success.
2. Describe how the current healthcare environment, ongoing pandemic status and reimbursement
changes including PDGM refinements and HHVBP impact the referral process and success rate of
outcomes.
3. Identify ways for home health agencies to impact the referral process to successfully case manage
appropriate home health referrals that achieve the agency's goals for patient outcomes and
financial solvency.

Handout(s)


Sponsored by

Inovalon