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Session Type = Educational Session
Monday, July 22, 11:00 AM - 12:40 PM
With less than one year under the HHVBP expanded model, CMS is already making changes starting in the third year of the expansion. Measures are being retired and new ones added. How should agencies be preparing for this latest changes? Join our speakers as they share insights to the model...
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The plan for financial success begins with a budget preferably one that is based in achievable and actionable KPIs. Too often Agencies take the easy way out with their approach to benchmarking and budgeting which can leave them with less chips at the table and without any face cards. As...
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This session will provide strategies and ideas to enhance your operations by mastering the art of communication between financial and clinical managers. The session will provide a platform for professionals in finance and clinical management to cultivate a shared language, fostering mutual understanding and collaboration. Elevate your organization’s effectiveness through...
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Discover the power of Key Performance Indicators (KPIs) and benchmarking in navigating the financial landscape of private duty home care. Learn how to effectively utilize data-driven insights to drive budgetary decisions, enhance operational efficiency, and achieve sustainable growth. Explore practical strategies and best practices to align KPIs with budgeting goals,...
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Monday, July 22, 2:00 PM - 3:40 PM
Home health revenue cycle performance is a key indicator of operational and financial health. Staff turnover, shifts in payer mix, volume fluctuations, regulatory changes, and evolving technology performance are everyday threats to revenue cycle performance. Identifying and resolving poor processes at each point in the revenue cycle is critical to...
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Explore the latest guidance surrounding governmental and non-governmental payor audits and investigative initiatives related to hospice medical review process and hospice eligibility. Gain valuable insights into best practices for successfully navigating medical reviews, technical denials with hospice documentation including CTIs as well as election statements and the financial implications of...
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As costs continue to rise and margins continue to shrink, organizations are constantly challenged to try to do more with less. To control costs and maximize operational efficiency, agencies are exploring options to centralize certain back-office functions or even consider outsourcing. Other agencies have made the decision to offshore rather...
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Do you have interest in Medicaid but aren't sure whether to participate? Are you scared off by rumors of low reimbursements? Do you want to know more about the program to better manage your own Medicaid-funded services? If so, this session is for you! Join experts in the Medicaid program...
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Monday, July 22, 3:50 PM - 4:40 PM
Home health agencies are facing many challenges including insufficient payment rate increases, margin compression, workforce shortages, and changes in payer mix. Benchmarking and budgeting are two management tools that can help drive strategy and operational plans for success. To use these tools successfully, it is critical that your benchmarks are...
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The Medicare Advantage Value-Based Insurance Design (VBID) Hospice Benefit Component demonstration entered Phase 4 January 2024. In a shocking turn of events, the VBID Hospice Carve-In is set to end December 31, 2024. Most MA Organizations have chosen to volunteer participation for at least one of their MA Benefit Plan...
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One of the most challenging aspects of running an agency is keeping your agency’s data protected. Between government regulations like HIPAA, HITECH, PCI, and ISO standards, as well as the cyber criminals agencies face today, it can be a full-time job. This session will show you how to take proactive...
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Explore the evolving landscape of compensation strategies in home care. This session delves into industry shifts imperative for securing financial stability for caregivers. Engage in discussions that equip you with strategic insights to adapt and thrive in the ever-changing financial landscape of home care. Discover insights and tools to recalibrate...
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Monday, July 22, 4:50 PM - 5:40 PM
Home Health has seen a dramatic shift in payer mix towards Medicare Advantage. It has become critical to ensure financial success to be able to manage your Medicare Advantage contracts and relationships. This involves an internal evaluation of current revenue and costs and communication of a value proposition to the...
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Hospice continues to be under the watchful eye of CMS as the new Hospice Special Focus Program (SFP) starts Q4 of CY2024. Tracking your HQRP scores will be imperative along with your CAHPS Hospice star ratings, as you navigate the scrutiny of CMS. Join our speakers as they provide a...
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Unlock the potential of your team. Impact employee engagement. Bolster recruitment and reduce turnover. Working in silos is less efficient than bringing operational and financial minds together. It's time to unite. In this session, we will address the common challenges faced by organizations, such as the ambiguity surrounding what to...
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Serving individuals with both Medicare and Medicaid eligibility (referred to as Dual Eligibles) poses unique challenges and opportunities for providers. This session will provide a foundational understanding of the Dual Eligible population demographics, Medicare and Medicaid spending trends, scan of regulatory considerations and value-based contracting opportunities. Speakers will also address...
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Tuesday, July 23, 8:30 AM - 10:10 AM
With the increase in referrals but the lack of availability of staff it has become challenging for an agency to grow and positively impact the bottom line. In the ever-changing landscape of payers, organizations must maintain their focus on how growth in different markets, or by referral sources, will impact...
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The hospice landscape continues to evolve under the Special Focus Program, increasing frequency of Targeted Probe and Educate (TPE) and other program integrity audits, and the evolving Value-Based Insurance Design (VBID). These issues, along with everyday challenges related to nursing facility room and board and Medicaid managed care organizations, present...
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The U.S. Healthcare Industry continues to evolve at an ever-accelerating pace. Providers of all types, and now Payors as well, are seeking various delivery alternatives including mergers, acquisitions, and joint venture arrangements in order to best execute their strategy in a marketplace increasingly focused on value-based care. Some are choosing...
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Dealing with workforce challenges is an ongoing issue for providers. The key for maximizing the ROI is to focus on retention. This session will help guide your decision making around compensation, professional development, growth potential for staff, and company culture, all of which affect staff retention. ...
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Tuesday, July 23, 10:30 AM - 11:20 AM
For Home Health organizations when Medicare Advantage contract is executed that is just the beginning as there are many steps involved from intake to billing that need to occur to align the final claim and settlement of value-based performance with the contract’s payment requirements. These steps are not only limited...
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Under the Medicare hospice per diem payment model, it may be perceived that there isn’t much strategy to make sure you are getting the proper payments for your hospice services. There are, however, several areas for which agency leadership should consider to make sure your agency is getting proper reimbursement...
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In home-based care, the safety of your staff is vital. As the industry evolves, so do the challenges that accompany providing healthcare within patients' homes. Investing in the safety of your home-based care staff is an investment in the quality of care provided, caregiver satisfaction and retention, and the overall...
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Since every state uses a different method to establish their service reimbursements, Medicaid payment rates are often complex, confusing, and misunderstood. When managed care organizations are added to the mix, the structure becomes even more complex. This session will begin to unpack the different ways that states set rates, manage...
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Tuesday, July 23, 11:30 AM - 12:20 PM
With the extensive federal regulatory structure surrounding home health services, it is essential to stay abreast of ever-changing requirements as well as maintaining an understanding of longstanding rules. The myriad of rules involves care quality, coverage of services, fraud and abuse, and reimbursement. This program highlights the top regulatory compliance...
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As the healthcare landscape evolves, interest in palliative care continues to grow, but the business case can be elusive. Join us to explore approaches to quantifying the bottom line impact of palliative care, and learn about barriers to success in achieving a positive ROI for this service line....
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This session will teach you how to identify information about new care models and payment approaches that serve Medicare and Medicaid beneficiaries. This session will assist you in synching up with CMS to get ahead of where they are going and help your organization be a trailblazer in value-based care....
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Amid economic challenges and shifts in private pay hours, this session delves into strategic approaches for home care agencies to broaden their revenue streams by tapping into alternative payor sources. Explore the opportunities presented by programs such as the VA, Long-Term Care (LTC) insurances, Medicaid, and Medicare Advantage. Discover practical...
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