Home Health Agencies in five states are now required to submit a Pre-Claim Review to CMS before they will be fully reimbursed for the care they provide. This article is a summation of this new regulation and how it can affect these agencies, as well as some tips to help prepare and execute new processes to accommodate the new rule.
From the HCAF Conference: Are we having fun yet? Many agencies are not! Joing Sharon Litwin of 5 Star Consultants as she educates on the ICD10 challenges, how to overcome them, and strategies to progress with improved documentation and lessened knowledge deficits.
Many patients that are discharged from the hospital for Home Health are at high-risk for rehospitalization, but yet little physician engagement to provide a coordinated care experience. Lisa Kidd, of Baptist Home Health Care provides education on how to develop a program that provides a safety net and true continuation of care across the different entities of the healthcare continuum: Health System, Physician, and all aspects of Home & Community Based Services.
Kimberly Skehan of Simione Healthcare Consultants leads this session that educates on how Quality Assessment and Performance Improvement has a significant impact on survey readiness, demonstration of quality to the public and referral sources, and the agency's bottom line due to the financial implications of performance measures under value based purchasing and other key quality measures. From the HCAF Conference, industry best practices and examples will guide viewers in developing a program for prioritizing QAPI measures.
Matthew Capell of FHS Seniorcare Payment Solutions discusses the many factors that are fueling the concerns that government-sponsored programs will not be able to sustain the rising long-term care costs of our rapidly aging population. In order to thrive in the evolving health care ecosystem, home care agencies must understand how these programs are changing and how newly emerging programs will alter the landscape dramatically. From the HCAF Conference.
From the HCAF Conference, Arnie Cisneros and Kimberly McCormick of Home Health Strategic Management deliver an excellent session on new care and programming models outlined in the Affordable Care Act that have now arrived. Providers face new challenges that alter many of our historical community care delivery practices. VBP, CCJR, readmission efforts and Alternate Payment Models require a shift from volume to value. This presentation outlines the drivers that to elevate the value in your programs.