Pre-Claim Review & Value-Based
Purchasing Webinar: Modify Your Care Processes for Success


Recently introduced home health reforms and proposals for ongoing future refinements to the home care model identify an industry quite different from what we’ve experienced during the PPS era. Accountable Care Organizations (ACOs), Episodic Bundling, and other Alternative Payment models are followed by a series of program-altering proposals that target home health inefficiencies as a means of improving outcomes.

Many of the changes are currently seen as Medicare Demonstration Projects in a number of states, and Value–Based Purchasing (VBP) and Pre–Claim Review (PCR) are the most prominent examples. But Med Pac recommendations propose additional reforms, including decreasing payments for community-referred patients, splitting certification period payments into two 30-day totals, and removing therapy from the reimbursement model.

This webinar will outline where you can modify current protocols to prepare your agency for success in the future.


  • Outline proposed CMS home health programming and payment changes
  • Connect future care protocol changes to current care production and delivery methods
  • Propose preparatory steps to connect the home health care of today to the modified change requirements of the future


Arnie Cisneros, PT

President, Home Health Strategic Management, LLC.

Arnie Cisneros, P.T., president of Home Health Strategic Management, has provided clinical services, program development and management consultation in the areas of geriatric rehab, sports medicine and home health since 1979.  His clinical background is primarily orthopedic based from his tenure with The Ohio State University Sports Medicine Department. 

He is renowned for his adaptation of traditional care philosophies to address current and future healthcare initiatives. His status as a currently practicing clinician provides a working level insight into program development and care consultation needs for Home Health providers. He authors "Home Health Forum", a bi-weekly column addressing contemporary homecare issues and is a contributor to "The Remington Report", Caring, and Decision Health publications. He presents nationally on homecare topics including S.U.R.C.H. - UR for Home Health, OBQI Case Conference, and PPS/P4P strategies.


Provider approved by the California Board of Registered Nursing (Provider #CEP2463) for one (1) contact hour of continuing education. You must be present for the entire webinar to earn Continuing Education Units.

At the completion of the webinar, you will be directed to complete an online evaluation form, which is required in order to obtain a certificate of completion. Please allow 1-2 weeks for your certificate to arrive via mail.


Webinar login instructions and handouts will be emailed to registered attendees the day before and the day of the webinar.

PLEASE NOTE: Registration fees are per person for a single log-in. Each attendee must have their own individual login credentials.


No cancellations or refunds will be issued once user login information has been sent. Unfortunately, due to the online format of this program we are unable to offer exceptions to this policy. It is recommended that each registrant review the course content prior to submitting payment to ensure the content meets individual educational needs.