Home Health
Payment Summit

August 17 - 18 | Caesars Palace Las Vegas


Monday, August 16, 2021
8:10 a.m. - 9:10 a.m.
Compliance Best Practices from Intake to Discharge


9:10 a.m. - 10:25 a.m.
Working Together: Navigating Change and Challenge as a Team

As a home health professional, you’ve come to expect change – —new regulations, new interpretations, new guidance, new codes, new payment requirements. Then there are the unexpected challenges such as a natural disasters or pandemics, and all the complications they bring. The more everyone in your agency can work together, across departments, the stronger you can be in adapting to change. Learn how to support one another and thrive in uncertain times.

Tool: Agency interdepartmental compliance checklist

10:25 a.m. - 10:45 a.m.
10:45 a.m.- 12:00 p.m.
From Intake to Discharge: Establish Processes That Safeguard Claims and Prevent Survey Scrutiny

Thorough and reliable processes have never been more important for the success of your agency. Learn how to gather accurate information and detailed documentation at every step and you will ensure that all aspects of care run smoothly, from intake to discharge.

Tools: Re-engineering discharge (RED) for home health & Enhanced intake process form

12:00 p.m.- 1:00 p.m.
1:00 p.m. – 2:15 p.m
Address and Avoid Top Claim Denials and Survey Deficiencies

A denied claim is the last thing you want to see after you’ve already spent time and resources delivering care. And survey deficiencies can be even more devastating. You can head off future trouble by learning from the causes of the most common home health claim denials and survey deficiencies. Addressing these issues before you drop the claim or greet a surveyor at the door will help safeguard reimbursement and prevent future headaches.

2:15 p.m. – 2:35 p.m.
2:35 p.m. – 3:50 p.m.
Ensure Compliance, Avoid Top 10 Documentation Mistakes

Compliant documentation demonstrates eligibility, identifies the skilled care your patients require, and ensures ethical reimbursement. Poor documentation can undermine all the work your agency does to provide care for patients. Learn steps you can take to avoid common documentation pitfalls.

3:55 p.m. – 5:10 p.m.
Interactive Session: Test Your ADR Response Skills, Secure Proper Documentation

Put your knowledge to the test in this interactive session on managing ADRs. Break into groups with your fellow attendees to work through a scenario to secure accurate and compliant documentation.

Tool: Patient-centered care planning form

Main Conference Day 1

Tuesday, August 17, 2021
8:15 a.m. - 9:15 a.m.
9:15 a.m. - 10:30 a.m.
Speed Up RAP Submissions, Achieve Revenue Cycle Success

Time is valuable under PDGM, and this session will explore how to tune up each step in the revenue cycle to address the shortfalls that can slow claims processing and submission. We’ll review the latest RAP requirements in 2021 (and changes ahead in 2022), plus detail changes related to final claim billing.

Tool: Audit tool for use prior to billing final claims

10:30 a.m. - 10:50 a.m.
10:50 a.m. - 12:05 p.m.
State of Home Health: Life After the Pandemic

Get the inside scoop from one of the industry’s top advocates. NAHC’s President Bill Dombi shares the latest updates on how the pandemic has affected the home health industry and the new opportunities offered with the growing attention on care at home. Tap into the latest lobbying efforts to build on home healthcare access through CMS, as well as the kinds of partnerships possible with hospitals and skilled nursing facilities.

12:05 p.m.- 1:05 p.m.
1:05 p.m.- 2:20 p.m.
Walk Away With Lessons Learned From RCD, Ensure Claims Stand Up to Government Scrutiny

Revamp your documentation strategies to avoid ADRs and streamline processes to get claims paid faster. Learn strategies from agencies that were part of the Review Choice Demo on how to conduct effective self-assessments to spotlight coverage criteria and build a culture of compliance. Ensure your claim has everything needed to stand up against any kind of government review.

Tool: RCD checklist to be used as a self-assessment for agencies to look at audit risk

2:20 p.m. – 2:40 p.m
2:40 p.m. – 3:55 p.m.
Connecting the Dots for Proper Payment: Coding + OASIS + Plan of Care

The diagnosis codes plus responses to specific functional OASIS items drive your episode payments under PDGM. Learn the documentation required to support proper reimbursement and avoid regulatory scrutiny. Understand how to use the plan of care to connect the patient’s assessment, documentation, and delivery of care. Discover methods to improve clinician accountability for timely, accurate, and complete patient information.

Tool: Clinician documentation consistency checklist

4:00 p.m. – 5:15 p.m.
The PDGM Data Story: Take a Look Back and a Peek Into the Future

What story do the data tell about home health agency behavior during the pandemic and early adoption of PDGM? Gain some insight into how PDGM has shaped the home health industry and how the pandemic has created chaos in the numbers. Then, get a peek into what you can expect in terms of future trends.

5:15 p.m. - 6:00 p.m.

Main Conference Day 2

Wednesday, August 18, 2021
8:15 a.m. - 9:15 a.m.
9:15 a.m. - 10:30 a.m.
Expert Panel Q&A

Join our speakers for a lively panel Q&A where we will take a look at how home health payments have changed in the last few years and how agencies can best position themselves for future accurate payments.

10:30 a.m. - 10:50 a.m.
10:50 a.m. - 12:05 p.m.
Implement Key Checks & Balances for Proper Payment

Walk through the key documentation touch points that drive PDGM payments. Make sure you have the checks in place related to code choice, including how to handle unacceptable codes, primary diagnosis designations, and comorbidity listings. Take a look at examples of where coders and clinicians continue to get tripped up when completing these key touch points.

12:05 a.m.- 1:05 p.m.
1:05 p.m.- 2:20 p.m.
How to Get Paid by Medicare Advantage Plans

The growth of Medicare Advantage (MA) plans offers a wealth of new opportunities for home health agencies. But these plans don’t always follow the same rules as traditional Medicare, so ensuring accurate and timely payments will require some tweaks in your processes. Find out how you can adapt your processes to ensure speedy MA payments.

2:20 p.m. – 2:40 p.m
2:40 p.m. – 3:55 p.m.
Shore Up Your Documentation, Avoid ADRs and Denials

Learn the most common denial codes, as well as the key documentation steps you need to take to keep the money your agency deserves for quality home health services.

Tool: Beginning the process for defensive documentation

4:00 p.m. – 5:10 p.m.
Strategies for Measuring and Cutting Costs While Delivering Quality Care

This session will take a hard look at the costs of your care. You’ll compare the financial impact of care based on visit utilization, including telehealth practices. You’ll also take a look at PDGM visit use analytics, with a focus on financial and quality benchmarks, and measure the costs of unwarranted variables of care.

5:10 p.m.
Conference Adjourns
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