Sessions
May 22-25, 2023 | Rancho Mirage, CA
The Westin Rancho Mirage Golf Resort & Spa
2023 KEYNOTE SESSIONS
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2023 HOSPICE SESSIONS 100-400
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2023 HOSPICE SESSIONS 500-700 |
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H100 | Tuesday, May 23 | 10:15am - 11:45amResponding to a Hospice Targeted Probe & Educate Additional Documentation Request
This educational session has been designed to ensure providers have the most current and up-to-date information regarding the federal Medicare hospice guidelines regarding Medical Review J6 Hospice Targeted Probe & Educate edits, denials, and information regarding how to avoid top denials, as well as how to respond to an additional documentation request. There will be a review of NGS and CMS references and resources as well as NGS contact information. H200 | Tuesday, May 23 | 1:45pm - 3:15pmHospice Levels of Care This educational session has been designed to ensure providers have the most current and up-to-date information regarding the federal Medicare hospice guidelines required by clinicians to support documentation of all four hospice levels of care. There will be a thorough review of routine home care (RHC), inpatient respite care (IRC), continuous home care (CHC) and general inpatient care (GIP) with documentation examples and scenarios provided for each level. There will be a review of NGS and CMS references and resources as well as NGS contact information. H300 | Tuesday, May 23 | 3:30pm - 5:00pmEnd of Life Option Act: Dying Their Way Legal since June 2016, the EOLOA has already undergone significant changes. This session looks at those changes and offers suggestions on creating policy and practice in various organizations, including skilled nursing facility, assisted living facilities, and hospice agencies. H400 | Wednesday, May 24 | 10:45am - 12:15pmYour census is down - Now what? We have all been there. It seems like the patients are expiring faster than we can admit and the census is down. What can you do? Is there a sprint that will get our census back up? Discover how 3 agencies created a sprint that not only “got their census back up” but grew it over the next 6 months by double digits.
H500 | Wednesday, May 24 | 1:45pm - 3:15pmSurvey Confidence Doesn't Happen Every Three Years Obtaining survey confidence combines knowledge, experience and practice. Steps to master survey confidence include developing processes that accelerate the energy of survey readiness. Survey confidence and daily responsibilities can occur. We begin by exploring the process with tools you need. Interactive practice, during the session, will increase your confidence. You will leave being able to create a 'showroom of improvement". H600 | Wednesday, May 24 | 3:30pm - 5:00pmHospice PEPPER Reports The PEPPER reports are one of the leading sources of data driving the medical review of providers. This session will familiarize hospices with the individual targets that are calculated in the PEPPER, the source and what hospices should be doing to prevent scores that will lead to medical review. All eyes are on PEPPER, are yours? H700 | Thursday, May 25 | 10:15am - 11:45am Home-based Palliative Care Tier Model Overview of our new Palliative Care Tier Model, developed by Kaiser Care at Home Regional Team in the Southern California region for our Home-based Palliative Care population.
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2023 MEDICARE CERTIFIED SESSIONS 100-700
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2023 MEDICARE CERTIFIED SESSIONS 800-1400 M100 | Tuesday, May 23 | 10:15am - 11:45amPreparing the Home Health Agency for a MAC Audit
This course will offer home health providers tips and suggestions related to a Medicare Administrative Contractor (MAC) National Government Services (NGS) home health Additional Documentation Request (ADR). The NGS Provider Outreach & Education (POE) Consultant will offer detailed information regarding the most recent Targeted Probe & Educate (TPE) auditing process required by the Centers for Medicare & Medicaid Services (CMS) and conducted by the MAC NGS Medical Review departments. The POE Consultant will provide attendees with the current home health TPE audit focus areas, current common claim denials related to medical record documentation, and how to avoid those denials. Immediately following the presentation, important home health documentation references and resources will be provided, as well as an open question and answer period M200 | Tuesday, May 23 | 1:45pm - 3:15pmDocumentation to Support the Home Health Claim
This course will offer home health providers an in-depth review of the current federal Medicare home health eligibility criteria as per the Medicare Benefit Policy Manual (MBPM) Chapter 7, and the documentation required to support each of the criteria; including: homebound status, the need for skilled services, the plan of care, physician and allowed practitioner oversight of home health services, and the face-to-face encounter. The POE consultant will also discuss certification and recertification of eligibility criteria for the initial and subsequent home health episodes, as well as the importance of documentation collaboration between other entities that have provided services related to the patient's current primary diagnosis and the home health services being provided. The POE Consultant will also provide important documentation references and resources, and offer an open question and answer period immediately following the presentation. M300 | Tuesday, May 23 | 3:30pm - 5:00pmNGS Presents: The ABC's of Compliance in 2023: Accountability, Best Practices and Consistency This presentation will provide an overview of the components necessary for implementation of an effective Corporate Compliance Program and review top compliance and regulatory risk issues for home health and hospice in 2023. We will discuss strategies to implement accountability measures, best practices, and consistency in compliance through a comprehensive oversight and risk monitoring program which reduces risk of financial penalties due to non-compliance with billing and regulatory requirements. M400 | Wednesday, May 24 | 10:45am - 12:15pmHome Health PDGM Update - Revenue Cycle With the continued updates and changes to the Home Health Patient Driven Groupings Model (PDGM), where does your agency stand? This session will take you into the depth of what the revenue cycle includes, what is currently impacting the revenue cycle and what agencies should be focused on to ensure that they are current. M500 | Wednesday, May 24 | 1:45pm - 3:15pmGoal: Add $1million to your revenue Learn How to add $1 million in patient revenue and you don't even have to get "New" referral sources! If you have a current census you have GOLD already in your book of business from your existing referrals sources! Join me in this session to review case studies of agencies who have added $1 million plus from existing referral sources and you can too! M600 | Wednesday, May 24 | 3:30pm - 5:00pmOASIS-E Updates Five months under our belts with OASIS E- and what have we learned? We will discuss the "real world" challenges and solutions found during this time- as well as the CMS changes to the OASIS E guidance in 2023 already!
BONUS: Cue Cards for Field Staff! M700 | Thursday, May 25 | 10:15am - 11:45amLet the Games Begin: Competing for Better Patient Outcomes, Higher HHVBP and Star Rating Scores! Now that both HHVBP and OASIS-E have been implemented, how should you be working to improve your HHVBP Total Performance Scores (TPS), HHCAHPS and Quality Star Ratings? How do these programs intersect, and which measures and data points should you be tracking in improving your patient outcomes and agency scores? Join Sue Payne and Chris Attaya as they navigate these programs and the operational approaches and strategies that will make you a winner.
M800 | Tuesday, May 23 | 10:15am - 11:45amWhat's at Risk with Home Health Risk Adjustments? Risk adjustment is essential when comparing quality of care across providers when home care agencies provide services to populations with different characteristics. It levels the playing field and allows meaningful comparisons. Risk adjustment has been around since the early 2000s, but it remains a mystery to clinical leaders and clinicians. HHAs should be confident that risk adjustment allows a fair representation of care regardless of patient mix. Patients also need to be confident that quality of care is accurately reported. This session will discuss the re-calibrated risk adjustment and outcome measurement process implemented with OASIS-E. Learn how and why risk factors are utilized for quality outcome measures, methodology and the specific risk factors utilized. Participate in an interactive walk-through demonstration that gives further insight of how risk adjustment impacts different agencies. M900 | Tuesday, May 23 | 1:45pm – 3:15pm Home Health Surveys: Understanding the Top Ten Deficiencies The Top 10 Survey deficiencies have had minimal variance over the past years. We will dig deep into some of the ongoing reasons that agencies continue to be cited. Survey findings are very similar in licensure and certification surveys. Understanding the different survey citation levels can make a different in how you prepare before survey, respond during survey and develop your response to the survey. This session is interactive; often participants contribute survey experiences and plans that have improved care, outcomes and patient/employee satisfaction. M1000 | Tuesday, May 23 | 3:30pm – 5:00pm Can't Get No Satisfaction: Improving Your HHCAHPS Making strides with your patient care ratings is directly related to your satisfaction ratings. Satisfaction rates revolve from seeds we plant, and behaviors that may seem on the surface to be insignificant. Studies have shown that clinicians' appearance, time management, and taking a seat for home health visits are just some of the many practical ways we can increase our patient satisfaction surveys. Join us as we take a humorous approach to increasing your organization's HHCAHPS survey ratings. Our “Charm School” will provide tried and true strategies your agency can implement for success. M1100 | Wednesday, May 24 | 10:45am – 12:15pm Home Health Value Based Purchasing - Top Performance Guidance The home health value-based purchasing (HHVBP) expansion is here to stay. The reality of facing national quality competition with a financial bonus or penalty for performance is motivating providers to take a clear look at where they stand and make strategic, informed decisions to advance their outcome performance. Join us as we break down how HHVBP works and what your organization can do to drive to success, generating top outcomes that count. M1200 | Wednesday, May 24 | 1:45pm - 3:15pm Home Health Medical Review: Top Denials and How to Avoid This session will take agencies through the deep dark recesses of home health medical review. In light of all the levels of review that are occurring, agencies must be prepared from every angle. The reasons for denial are relatively close, regardless of the reviewer and this session will review the top five and provide a way of avoiding those denials! M1300 | Wednesday, May 24 | 3:30pm - 5:00pm Analytics Across the Continuum of Care at Home: Powering Top Performance As care in the home expands, agencies are faced with serving higher patient acuity and complex needs within a constricted workforce and an increasingly value-based payer market. Across the care at home continuum, competitive agencies strive to achieve top clinical outcomes at the lowest cost, with an engaged workforce, using the right data to accelerate performance and focus where attention is needed. This discussion will dig into predictive and performance analytics impacting personal care, home health and hospice, digging into understanding how to use data to power top performance, including workforce and clinical analytics. We will discuss how to best connect the field and office with today's analytics, advancing clinical modeling. M1400 | Thursday, May 25 | 10:15am – 11:45am Finding Success in a changing Healthcare landscape - Thoughts on Remaining viable in the Value Era Healthcare reforms have affected all community care Providers as Impact Act reforms rewire the care continuum in Value terms. Patient programming has transitioned from Volume to Value, affecting care delivery from acute care admission to post-acute discharge and beyond. These changes affect how patients are assessed, treated, and managed, and affects all in-home delivery. This progressive presentation describes the philosophies behind these changes, and proposes strategies for success for HH, Hospice, Private Duty and DME Providers. Don't miss this session, and start the trip to success in tomorrow's healthcare landscape.
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2023 PRIVATE DUTY SESSIONS 100-400
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2023 PRIVATE DUTY SESSIONS 500-700 P100| Tuesday, May 23 | 10:15am - 11:45am Opportunities for Private Duty Homecare Providers in Medicare Advantage In mid-2018, The Centers for Medicare and Medicaid Services (CMS) relaxed the definition of “medical necessity,” enabling Medicare Advantage plans to offer a wider range of supplemental benefits that include in-home support services. While this change is opening doors for private duty homecare providers – there are a few challenges, too. This presentation will outline opportunities for homecare providers, and discuss best practices when working with Medicare Advantage payers to ensure streamlined service fulfillment and improved health outcomes for older adults. P200| Tuesday, May 23 | 1:45pm - 3:15pm Goal: Add $1million to your revenue! Learn How to add $1 million in patient revenue and you don't even have to get "New" referral sources! If you have a current census, you have GOLD already in your book of business from your existing referrals sources! Join me in this session to review case studies of agencies who have added $1 million plus from existing referral sources, and you can too! P300| Tuesday, May 23 | 3:30pm – 5:00pm Home Care Services Bureau (Update) Panel The Department of Social Services, Home Care Service Bureau, will provide updated information including Bureau Updates, data on Home Care Organizations, Inspections and Provider Information Notices (PINs). P400 | Wednesday, May 24 | 10:45am - 12:15pm CA Wage & Hour Update This program will educate attendees about the many legal changes with which employers must comply in 2023 and beyond: P400 Handout P400 Additional Handouts
P500| Wednesday, May 24 | 2:15pm - 3:45pm Top 10 PAGA cases This program will discuss the “PAGA” statute, what it means, how it came about, what PAGA lawsuits are, how to handle them, and most importantly, how to AVOID them. P600| Wednesday, May 24 | 3:30pm - 5:00pm The State of the Home Care Workforce: A National Perspective It is no secret that the workforce shortage in home-based care has reached crisis proportions. Despite the best efforts of industry leadership, the gap between the numbers of those seeking assistance and the availability of workers to provide that care is accelerating at an unsustainable pace. In an effort to identify the overarching issues complicating recruitment and retention efforts, the National Association for Home Care & Hospice (NAHC) partnered with MissionCare Collective (MCC) to produce The State of the Direct Care Workforce, a national study that included data from over 67,000 caregivers, CNAs and home health aides. This breakthrough study, the first of its kind, ultimately identified seven distinctly different types of caregivers. Learn about each of these seven personas, how to recruit them and, most importantly, how to tweak your company culture in order to retain them. Attendees will have the ability to download the final report. P700| Thursday, May 25 | 10:15am - 11:45amHome Care Assessment's & Service Agreements.
Is an In-Home Care Assessment of the Client's needs essential? Does your Service Agreement properly protect your agency? Before starting services with your client are you meeting with the client and client's responsible party to discuss the care needs of the client? Prior to the start of service are you having the client and the client's responsible party sign a service agreement for the services in which they have requested?
We will discuss various categories and questions you should be covering when conducting a care needs assessment. A complete In Home Care Assessment is an essential step when coordinating the care of the client. Getting to know the client is a key part of the caregiver selection process. This allows you to match the client with a caregiver whose personality, skills and experience are best suited for the clients care needs. This allows you to tailor the services to meet each client specific needs; a customized care plan. Do you have a Service Agreement in place that is signed by the client or client's responsible party prior to the start of care? Does your Service Agreement cover all the services in which you provide, billing processes, holidays, overtime, cancelation of services, theft and more? We will discuss items in which you should place in your Service Agreement to protect you as the agency as well as your client who is requesting services. A Service Agreement will help prevent miscommunication verbal agreements can often lead to, ensures billing and payment terms, offers legal protections, and more. A Service Agreement covers expectations, terms and conditions so that your clients and their responsible parties understand what responsibilities they hold under the Service Agreement they have entered into with your agency.
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2023 LEADERSHIP 100-700
L100 | Tuesday, May 23 | 10:15am - 11:45am Is Your Business Transferable?
Business transitions are a fact of life. Every business will transition, but not every owner will have the chance to actively participate in the process. In order to affect a successful transition, a business owner should start by understanding if their business CAN be transitioned in its current state. The ideal state for a Business Transition is what we call "Prime". Once a business owner understands where they are on their Pathway to Prime, then he or she can start to explore the myriad steps involved in making a successful transition happen. L200 | Tuesday, May 23 | 1:45pm - 3:15pmPositioning Your Home Health Agency for Sale: Ways to Increase Value and Find the Right Buyer Even if you are not looking to sell your agency in the next year, it is helpful to understand the value of your business and what buyers would be looking for in an agency. Planning now for a future transaction will help you increase the value and maximize your results. L300 | Tuesday, May 23 | 3:30 pm - 5:00 pmCreating a Five Star Culture to Navigate Change Hospice is facing continued regulatory scrutiny and change. This session will describe our organization's journey to create a culture that is a best place to work providing staff support through the challenges of regulatory change and compliance. A culture that promotes innovation, addresses diversity equity and inclusion and achieves the desired organizational outcomes. L400 | Wednesday, May 24 | 10:45am - 12:15pmMoving Into the Future: the Power of Transformational Leadership Do you know the difference between transactional leadership and transformational leadership and why it makes a difference in EVERY industry? As the saying goes; “the only constant is change,” and if it's important for you and your organization to move into the future with positive growth and a thriving staff, you will want to understand how to support this change. This includes appreciating leaders with strength of vision and personality who can inspire followers to change expectations, perceptions, and motivations to work towards common goals. Additionally, that change happens when there is an increase in the leader's expectation of the follower's performance which will result in overall increased performance. L500 | Wednesday, May 24 | 1:45pm - 3:15pmLeveraging your Home Health and Hospice Cost Report for both Industry and Organizational Success In this session the attendees will understand how Medicare cost reports are utilized by CMS for future case mix recalibrations, annual rate setting, and will be extremely important in the potential future reimbursement rates for telehealth and/or telemonitoring services. They will learn the important key performance indicators (KPIs) that can be calculated from their home health and hospice cost reports. These KPIs impact the clinical, revenue cycle, and financial departments. Lastly, they will receive the national and state-based benchmarks for these KPIs and recognize how to utilize them to drive strategic decisions to create financial and operational success. L600 | Wednesday, May 24 | 3:30pm-5:00pmStrategic Planning: Creating a Durable Plan to Thrive in a Challenging Healthcare Environment Learn why strategic planning is key to the leadership process in your healthcare organization, especially with so much uncertainty around staffing, changing patient needs and financial stability. L600 Handout L700 | Thursday, May 25 | 10:15 am - 11:45 amMastering Your Memory The human brain possesses an incredible amount of power to store and recall information. Unfortunately most people are never taught how to fully access this ability. In this fun and highly engaging training program you will learn unique and exciting methods to increase your memory skills to extraordinary levels.
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2023 GENERAL INTEREST SESSIONS 100-700
G100 | Tuesday, May 23 | 10:15am - 11:45 mI'm Sorry, We Don't Do That How many times have you heard your staff tell someone exactly that? “We don't do that" is a business killer. Attendees in this session will learn new language and attitudes toward accommodation of requests for services not offered now in your business. We will explore what this openness to options that this may mean for your business from just being helpful to actually starting new lines of business. Join us and experience how to make this statement work for your company. G200 | Tuesday, May 23 | 1:45pm - 3:15pm ICD-10 Coding Home Health & Hospice Catch up on the newest on groupers and comorbidities and official guidance just out from the Coding Clinic. Lisa will discuss the trending topics in coding, including the Face-to-Face requirements and dementia, and provide direction for compliance and optimization of revenue. G300 | Tuesday, May 23 | 3:30pm - 5:00pmCleaning out the Home Health Closet - Operational Metrics for Value Era success with all Payors Value-Era changes mandated by the Impact Act have prompted an operational upheaval for HH Providers seeking success under PDGM. Without rewiring for clinical acuity rather than volume as the primary driver of Home Health, traditional agency operations often fail to achieve efficient, best practice care programs. This progressive presentation addresses Value-Based operations for the Impact Act era, focusing on specific operational metrics for success. Initially addressing Medicare
episodes based on PDGM reforms; this session will also address how insight into operational
metrics for success. G400 | Wednesday, May 24 | 10:45am - 12:15pm 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" G500 | Wednesday, May 24 | 1:45pm - 3:15pm The WHY of Work; Aligning Passion and Strengths to Get the Job Done Staff usually understand what they do for work, but can everyone articulate the “why” of their work? In a world recovering from a pandemic, it might be necessary to be reminded of the purpose of the work and remembering the enthusiasm of a job well done. This session will help individuals identify their own personal strengths both external and internal and how to apply those strengths to the work they do that helps to make the work meaningful. We will outline steps for retention and sustainability using the four basic leadership practices that will empower staff to define the WHY of the work which in turn creates buy-in and loyalty for all levels of staff. G600 | Wednesday, May 24 | 3:30pm - 5:00pm Everything You Need to Know in 2023: Federal and California Employment Law Updates This program will be a comprehensive and easy-to-digest review of everything your home-based care organization should be doing to be in compliance with California's employment laws and nuances. We will get you up to speed on the latest court decisions and legislative updates in California and will discuss how they impact your policies and practices going forward. We will also discuss the current state of the law for California arbitration agreements and the impact on claims brought under the Private Attorneys General Act (“PAGA”). We will review the limitations on restrictive covenants in California and discuss best practices for direct hire provisions in client agreements. Finally, we will discuss the latest trends in California employment and wage and hour litigation, including how to avoid a lawsuit and what to do if you're hit with one. This program aims to equip organizations with the best strategies for navigating the complex waters of California employment law. G700 | Thursday, May 25 | 10:15am - 11:45amCalifornia Department of Public Health (CDPH) - Home Health & Hospice Update | |||||||
