Aaron Little and Raymond Belles of BKD sat down with me at the NHPCO conference in Washington recently to discuss the recent happenings in the Home & Community Based Services arena.
We discuss the "pause" in the Pre-Claim Review initiative (which is a somewhat controversial part of this discussion) as well as the delay in the implementation of the new Conditions of Participation for Home Health. Raymond also discusses some of the new Alternate Payment Models that are emerging for Homecare - and what that means moving forward.
One of Curaport's favorite educators, Katie Wehri, has joined a new firm. Healthcare Provider Solutions, Inc. proudly announces the addition of Katie Wehri as Director of Operations Consulting. Katie is certified by the Health Care Compliance Association in health care privacy compliance. She has been working in the hospice, home health, private duty, and palliative care industries for 25-plus years and has held executive level positions in these arenas.
General Inpatient (GIP) care is one of the most targeted areas for fraud, abuse and waste in hospice, as targeted by the authorities, because it is one of the most misused levels of care. When a hospice patient is deemed by the interdisciplinary team to need this level of care, there are complex and serious medical issues that require greater levels of expertise and attention. Although the significant majority of hospice patients never receive this level of care, it is the most scrutinized and poorly managed.
This excellent session was led by Katie Wehri, CHPC, of Healthcare Provider Solutions. Her focus is:
Clearing up myths about how GIP should be used
Providing concrete, practical examples of how to and how NOT to use this level of care
Providing a summary of what has happened over the recent years relative to oversight activity for this level of care
CMS has made it clear that the current reimbursement models for healthcare delivery is not sustainable and is in the midst of significant change. What this means for the Post-Acute Care industry is still somewhat murky, but make no mistake – new Alternative Payment Models are coming and will impact your organization. Home Care providers can play an increasingly pivotal role in post-acute care delivery, however the key to playing this pivotal role is ensuring the entire organization has a clear understanding of what an Alternative Payment Model (APM) is and the risks associated with implementing these models.
Mark Sharp and Raymond Belles of BKD conducted this educational presentation that will enhance your organization's ability to take a proactive approach to the inevitable reality of new reimbursement models. Highlights of this session:
Nick Seabrook of BlackTree Healthcare Consulting returns for a discussion on two of the most important conferences in the healthcare industry. He recounts the 100 conference in Florida, particularly what was on the minds of the leaders of the Homecare industry (hint: Trump).
He also talks about his first visit to the HIMSS conference, the enormity of that show, and what the post-acute care space can learn from this conference.
We also get pretty candid about the current state of the Homecare "voice" in the legislative and policy landscape - and how our industry can improve their standing.
Katie Wehri does a masterful job of reviewing the entire Hospice Item Set (HIS) and delving deep into the two new quality measures to begin collecting data for on April 1, 2017 - Hospice Visits When Death is Imminent Measure Pair and the Hospice and Palliative Care Composite Process Measure. The HIS tool has been updated to reflect the new reporting requirements and hospices will begin using the HIS version 2.00.0 with admissions and discharges after April 1, 2017.
To utilize standardized tools most successfully, it is important to understand the instructions for each component and measure definitions. This informative webinar will: