Patient-Driven Groupings Model Workshop

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PROGRAM OVERVIEW

The new payment model dramatically impacts agency operations, processes and performance. Agencies must develop and implement plans to successfully transition to PDGM. This workshop will discuss key areas, strategies and processes in preparing an agency for PDGM. 

This workshop will have a focus on best episode management and process improvement practices including the referral, intake and scheduling processes, timely documentation, physician and patient communication strategies, all of which are required to more tightly manage care within the shorter 30-day payment period. The change to a 30-day payment model will also bring significant back office changes, specific to the claims processing and collections, which will be one emphasis of this workshop.  A strong clinical episode management program is critical to ensure sustained, efficient, cost-effective and uncompromised quality care delivery under the PDGM program! 

This workshop will bring emphasis to the fact that every discipline is valued the same and extra therapy visits does not equal higher payment. Lastly, this workshop will review the full blown emphasis of ICD-10 coding under PDGM and how agencies will have to monitor to ensure the specificity of coding for their patient care plans. 

PROGRAM TOPICS:
  • Summarize key areas of agency operations affected by PDGM.
  • Present data to assist in determining financial impacts of PDGM on an agency.
  • Review the complexity of determining LUPA thresholds under PDGM.
  • Review the impact of ICD-10 coding under PDGM.
  • Review strategic planning for implementation of clinical episode management best practices within the agency.

 

FACULTY












Melinda Gaboury, COS-C

CEO
Healthcare Provider Solutions, Inc.

Melinda A. Gaboury, with more than 27 years in home care, has over 17 years of executive speaking and educating experience, including extensive day to day interaction with home care and hospice professionals.  She routinely conducts Home Care and Hospice Reimbursement Workshops and speaks at state association meetings throughout the country.  Melinda has profound experience in Medicare PPS training, billing, collections, case-mix calculations, chart reviews and due diligence.  ZPIC, RA, ADR & TPE appeals with all Medicare MACs have become the forefront of Melinda’s current impact on the industry.  She is currently serving on the NAHC/HHFMA Advisory Board as ex-officio and is Associate Director on the Home Care Association of Florida Board of Directors.  Melinda is also the author of the Home Health Guide to OASIS-D: A Reference for Field Staff.



CANCELLATIONS

Cancellations are subject to 20% handling fee. There will be NO REFUNDS issued for cancellations received within 10 business days prior to program. Cancellations must be in writing. Refunds will not be made for no-shows. However, substitutions will be allowed. Should CAHSAH® cancel the program, a full registration fee refund will be issued.



CERTIFICATE OF COMPLETION
& CONTINUING EDUCATION UNITS (CEUs)

Provider approved by the California Board of Registered Nursing (Provider #CEP17394) for five and one half (5.5) contact hours of continuing education. You must be present for the entire workshop to earn Continuing Education Units. No partial credits can be given. Certificates are distributed at the close of the program.