Using Case Management and Process Improvement
to Improve Rehospitalizations and Five Star Rating!


Reducing a home health agency's rehospitalization rate, and improving the star rating is hard! Home Health is seeing more acute patients in the home over the last two years, and in 2023, CMS is changing the hospitalization measure to include observation stays! Sometimes it feels like we can't make an impact on such things-- but home health agencies have- and will continue to make a huge impact on our patient's quality of life- and enabling our patients to recover at home! This webinar breaks down the data, in detail, to determine where our resources are best spent- and then how "going back to basics" can significantly move the needle on rehospitalizations, as well as the five star.
BONUS: Tool "At a Glance 5 Star/PDGM/HHVBP"

Program Topics:
  • Describe how case management can make an impact on both rehospitalization and five star ratings
  • Define the 2023 updated hospitalization rate (PPH)
  • Identify how the items for 5 star/Hospitalization/HHVBP overlap (and where they are different!)


Annette Lee
CEO of Provider Insights, Inc.

Annette is a passionate home health/hospice and patient advocate, who provides support and empowers her clients to create a culture of compliance, while providing quality, efficient patient centered care. A registered nurse, with a Masters in Health Care Administration, Annette has practiced since 1990, with the majority of her nursing experience in home health. For over a decade she worked with the CMS intermediary where she provided review of, and education on home health documentation. Annette then began providing outreach and provider education regarding Medicare reimbursement issues and effective documentation strategies, assisting providers with ADRs and appeals. Today she marries together her experience in the "real world" and the inside knowledge of Medicare to ensure providers can meet the requirements of CMS, and ensure compliant, efficient operations. She presents nationally on OASIS, PPS, documentation and coverage and has provided content expertise to the CMS OASIS Q&A Mailbox. Annette holds both the Certificate for OASIS Specialist-Clinical and the Home Care Coding Specialist-Diagnosis certification. She is an AHIMA approved ICD-10-CM Coding Trainer.


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.


Provider approved by the California Board of Registered Nursing (Provider #CEP17394) for three (3) 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.