In an episode that defines the name of the podcast, Michael McGowan of Operacare is our guest this week. We learn about how Michael went from field nurse to OASIS expert, and how his new company, Operacare, is starting to take the industry by storm.
Michael shares his insights on how Regulators look at clinicial documentation versus how Providers view it, and then really discusses one of the root causes of the maelstrom of change in Home Health Care.
A fascinating and informational conversation to say the least.
The purpose of this webinar is to provide insight into the importance of properly answering portions of the OASIS document that relate to key Medicare initiatives to justify homebound status and medical necessity, as well as providing agencies with training tools to assist in their orientation and training programs. The course will focus on current Medicare changes, the effect of proper scoring on case integrity, insight into training difficult associates, and the impact proper scoring has on the agency. The speaker will also introduce instruments and training tools that allow managers to collect and analyze key metrics as well as tools for use in training start of care clinicians. Course objectives include:
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.
The new Conditions of Participation are here and become effective on July 13, 2017! There are NEW Conditions – QAPI and Infection Control. There are also many changes to Patient Rights, Aide services, Coordination of Care, Emergency Preparedness, and more! Sharon Litwin of 5 Star Consultants led this education session. Her focus is on the key changes and principles of the new Conditions of Participation, highlighting:
Michael McGowan of Operacare delivers this education on understanding why your claims are being denied. CMS states more than 50% of home health claims are billed in error. Ninety-five percent of Home Health Agencies routinely submit data and claims that cannot be defended during medical review. Yet after spending thousands of dollars on Quality Assurance activities each month, most HHA’s still don’t know why their claims are being denied.
Claiming your patients are sicker than other agencies around you; 40-50% of you are at risk for insolvency, audits, and failure in the forthcoming payment models. Value-based payment models, 5-star ratings, and Pre-Claim reviews are all impacted by this myth and lack of understanding of the data available to Home Health Agencies.
This final episode of 2016 is a look back on the previous year. Nick Seabrook, Brad Evanovich, and Eric Scharber - very much part of the A-team - are back and waxing philosophic about the past year and the lessons learned.
We also take a look ahead to 2017 and make some predictions about what is to come.