Financial Management Conference | Your Annual Reset to the Market
Home Health Value-Based Purchasing: Going Nationwide (Pre-Conference)
Speaker: Maria Warren, McBee
When: July 24
This intensive learning session combines the data from the nine-state demonstration with an analysis of the new model with a full national competition and modified performance standards. This pre-conference will share the keys to success, mistakes, and lessons learned in the earlier model, demonstrating the pathways to improved patient outcomes, higher achievement scores, and a winning year in HHVBP.
The program covers the essential areas that providers must focus on for success. These include: the HHVBP design and Structure Overview; Data Analysis; Clinical Services Management; Financial Operations Management; and Leadership Operations. These subject areas are combined with the insights gained by HHA executives who participated in the original demonstration project and expert consultants who help guide their success.
Getting Paid by Medicare Advantage Plans
Speakers: Michael Puskarich – McBee & Petria McKelvey – Precision Medical Billing
When: 3:50p PT, July 25
Medicare Advantage Organizations and all the plans they offer are continuing to add thousands of patients per year to their plans. The greatest challenge for home health agencies in dealing with Medicare Advantage is getting the claims paid, even when the agency has received an authorization from the plan. Challenges include, but are not limited to, lack of adequate authorization, out of network medical reviews, agencies not understanding the content of the contract and exactly what is required to get paid. Understanding the requirements for billing/payment supersede the rates that the contract promises to pay.
Utilization Management Under PDGM
Speaker: Carissa McKenna
When: 8:30a PT, July 26
In addition to the challenges with PDGM surrounding 30-day payment periods and updated visit thresholds, the industry also faced a variety of regulatory changes brought on by the COVID-19 pandemic. With telehealth becoming a widely used tool in home health, it also brought upon challenges in managing patient care. Data shows providers continue to struggle with managing utilization under PDGM. This heightens the focus on utilization management strategies and what your organization can do to achieve clinical excellence while remaining financially strong. This session will review national utilization trends and focus on best practices for managing utilization, while maintaining quality care delivery.
Choose Home Care Act: Its Impact on Home Care Agencies
Speaker: Maria Warren – McBee, Deborah Hoyt – Axxess, & William Dombi Esq., NAHC
When: 10:35a ET, July 26
The Choose Home Care Act, introduced in 2021 on a bipartisan basis in both the U.S. House and Senate, aims to increase access to care in the home following hospitalization for eligible Medicare beneficiaries by providing a post-acute option for nursing home level services at home. This Act represents significant changes and opportunities in the delivery of home care for agencies and their patients.