PDGM: 3-Month Check-Up Virtual Conference Update

The hosting states of the PDGM Summit and NAHC have decided to postpone the virtual conference until late April so agencies can focus on the challenges of the COVID-19 pandemic for the next weeks.

The hosting states of the PDGM Summit and NAHC have decided to postpone the virtual conference until late April so agencies can focus on the challenges of the COVID-19 pandemic for the next weeks. 

The following information will explain any conference updates that are included with the postponement:

The virtual conference will be held according to the 4 different time zones: Tuesday, April 28 will be for EST and CST, Wednesday, April 29 will be for MST and PST. 

All sessions will be from 8:30 AM – 4:30 PM according with the time zone.

Attendees can choose which day/time zone they prefer Members who previously registered for the March 30 in-person event are automatically registered to listen to the EST session on Tuesday, April 28 and will receive the recording for free. If you are already registered, you do not need to register again. 

Any members not already registered will now be charged $225 per person plus an optional $75 for the recording. Non-members will be charged $375 per person plus an additional $100 for the recording. 

Anyone wishing to receive CEUs for this conference MUST register separately. CEUs will only be provided to someone who paid for their own registration – not to anyone else that may listen to the live session in the same room or to the recording afterwards. 

There will be an additional session added in the morning that provides an overview of PDGM basics. The schedule will include two 15-minutes breaks and a 30-minute lunch break during the day.

Call-In logistics will be sent our closer to the conference.

For any questions, please contact Megan Fournier at mfournier@thinkhomecare.org.

You can register below if not already registered. 

Register Here

Talking Home Care: Marijuana and the Workplace

Pat Kelleher speaks with Layla G. Taylor about what employers need to know about marijuana.

Taylor and Kelleher

With many states (including Massachusetts) decriminalizing marijuana in recent years, home care agencies and other employers find themselves having to answer questions they never thought to ask. How do I protect my clients? What are my employees’ rights? Am I still allowed to issue drug tests and, if so, under what circumstances?

For the 13th episode of the Talking Home Care podcast, Pat Kelleher explores these and other questions with Layla Taylor, a partner at Sullivan, Hayes & Quinn and an expert in employment and labor law.

(If you’re a return listener from iTunes, please subscribe to the podcast; we moved the feed to a new location last year).

You may listen to the podcast by clicking any of the platform images above, clicking “play,” or downloading it directly (Length: 25 minutes; Size: 19 MB). If you enjoy the podcast, please give us a five-star review so others can find it.

Host: Patricia Kelleher is the Executive Director of the Home Care Alliance of Massachusetts.

GuestsLayla G. Taylor is an attorney with Sullivan Hayes & Quinn who focuses on labor and employment law.

Return to www.thinkhomecare.org.

Talking Home Care: PDGM’s First 30 Days

Pat Kelleher moderates a discussion among three leading experts about the first month of PDGM. Slides available at https://www.thinkhomecare.org/pdgm-slides

Attaya, Ashworth, Seabrook, and Kelleher

Medicare’s Patient-Driven Groupings Model (PDGM) system went into effect on January 1, 2020. How has the industry fared in the month since the “most significant regulatory and reimbursement reform” in recent memory?

For the 12th episode of the Talking Home Care podcast, we put that question to a live panel of three of the nation’s leading experts at the Northeast Home Health Leadership Summit: Chris Attaya of Strategic Healthcare Programs, Stacy Ashworth of Select Data, and Nick Seabrook of BlackTree Consulting. Slides from the discussion are available for download.

(If you’re a return listener from iTunes, please subscribe to the podcast; we’ve moved the feed to a new location).

You may listen to the podcast by clicking any of the platform images above, clicking “play,” or downloading it directly (Length: 70 minutes; Size: 31 MB). If you enjoy the podcast, please give us a five-star review so others can find it.

Host: Patricia Kelleher is the Executive Director of the Home Care Alliance of Massachusetts.

GuestsChris Attaya is the Vice President, Product Strategy of Strategic Healthcare Programs. Stacy Ashworth is the Executive Vice President of Clinical Innovation of Select Data. Nick Seabrook is the Managing Director & a Founding Member of BlackTree Consulting.

Return to www.thinkhomecare.org.

Behavioral Adjustments Under Early PDGM

NAHC’s Bill Dombi replies to reports that patients across the country are being told they no longer qualify for certain Medicare services or that services have been cut or discontinued.

Kaiser Health News and other health care media outlets are reporting that patients across the country are being told they no longer qualify for certain Medicare home health services or that services have to be cut back or discontinued due to changes in Medicare scope of benefits.  On a call with state home care association executives this week, Bill Dombi, President of the National Association for Home Care and Hospice confirmed that they are hearing of such cases from patient advocacy groups, such as the Center for Medicare Advocacy.  If such behavior gives the industry “a reputation for putting bottom line ahead of patient care, it’s going to be bad long term for the home care industry,” said Dombi.

In terms of any shortcoming with the PDGM model, he said,  we want to be able to lay these at the feet of the model’s crafters at CMS, not having them come back at us for over adjusting behaviors even beyond what was built into the model. He further suggested that until proven otherwise it might be case of managers and field staff inaccurately translating direction from management as to what has changed. He suggested CMS might need to do some more education around what has changed (payment) and what has not (coverage).

NAHC will present a series of six new webinars – free to members and non-members – on PDGM in Real Time featuring an open forum in which attendees can share and gain insights with Home Care & Hospice Financial Managers Association (HHFMA) experts about what is working and not working in the early weeks of PDGM.

These webinars are designed to enable home health agencies to achieve “high performer” status through continuous operational improvements in financial, clinical, business analytics, and administrative operations as PDGM unfolds.

The schedule for the Wednesday webinars at 1 PM ET is as follows:

  1. February 12 at 1:00 PM ET Info Tech/EMR readiness
  2. February 19 at 1:00 PM ET PDGM coding
  3. February 26 at 1:00 PM ET PDGM cash flow & LUPAs
  4. March 4 at 1:00 PM ET Therapy in PDGM
  5. March 11 at 1:00 PM ET Clinical management of patient episode
  6. March 18 at 1:00 PM ET PDGM data analytics

Registration information can be found here.

OASIS-D1 Guidance from Qualidigm

Changes to the OASIS data set will be incorporated into OASIS-D1 effective January 1, 2020. To help home health agencies understand these changes, Qualidigm has itemized the list of data set changes in a one-page document and four 90-second videos.

A number of changes to the OASIS data set have been made and will be incorporated into OASIS-D1 effective January 1, 2020 (click here for data submission specifications). These changes align with the new Patient-Driven Groupings Model (PDGM). Under this new model, OASIS accuracy will continue to be important with Functional Impairment Level derived directly from OASIS items.

To help home health agencies understand these changes, Qualidigm has itemized the list of data set changes outlined in this one-page document.  Additionally, Qualidigm recently released its Quality Quick Minute video series focused on the OASIS-D1 changes. The videos series is comprised of four brief, 90-second information videos outlining these changes to assist with preparation in anticipation of the January 1 effective date.

The OASIS-D1 Quality Quick Minute video series includes the following:

  1. OASIS-D1 Changes Overview
  2. Optional Items
  3. Follow-Up Timepoint Items
  4. M0090 Date Assessment Completed

All four videos can also be accessed from the home health section of the Qualidigm website at www.qualidigm.org/our-services/home-healthcare-consulting/.

Marissa Moncata
Senior Business Analyst, Consulting Services
Qualidigm
MMoncata@qualidigm.org

2019 Financial Management Conference Announced!

Join us on Tuesday, December 10th at the Beechwood Hotel in Worcester, MA for our Annual Financial Management Conference. Take a deep dive into the current trends and issues happening in the Home Health industry as you prepare for 2020.

Join us on Tuesday, December 10th at the Beechwood Hotel in Worcester, MA for our Annual Financial Management Conference. Take a deep dive into the current trends and issues happening in the Home Health industry as you prepare for 2020. This is the perfect conference for CFOs, CEOs, and Clinical Directors!
 
The 2019 Agenda Includes:
Hindsight is 2020: Hone into Home Health & Hospice Payment Compliance in the New Decade, Kathleen Hessler, Simione Healthcare Consultants
The HHS Office of Inspector General (OIG) continues its intense oversight and scrutiny of the Medicare home health and hospice programs by analyzing the rich sources of data available to them. With increase in survey and audit activity —including Targeted Probe and Educate (TPE), UPIC and SMRC audits, learn what your agencies need to do to ensure payment compliance in the new decade. The session will cover types of government audits, recommendations for internal-self monitoring, as well as what to do if your agency identifies an overpayment.

HHVBP Trends & Data, Chris Attaya, SHP Data
As we close out year 2 of the Home Health Value-Based Purchasing
Demonstration, Chris Attaya will take a deep dive and identify the latest updates and trends in HHVBP and Star Rating measure scores. Attaya will also discuss data points specific for Massachusetts state agencies.

PDGM Check Point, Mike Carr, Axxess
PDGM is almost here, now is the time to ensure you are ready for the changes. This session will review where you should be, and how to get there if you’re not. Carr will provide a high level overview of PDGM as well as understanding how past performance will be impacted by PDGM. Other elements to be discussed include technology challenges, therapy impact, and measures for survival.

Making Home the Center of Care: Opportunities & Challenges of Public Priorities, Mike Canter, Carecentrix & Reactor Panel
Recent public policy trends focus on cost containment, integrated care, and quality outcomes. Home care is in a unique position to thrive in this emerging environment. Is your agency poised to seize the opportunity?

Register Here

HCA Has Got You Covered with PDGM

PDGM is coming January 1, 2020 – HCA has numerous education opportunities to help you prepare and progress!

Blueprint for OASIS Training & Certification, November 4-6
Training, Devens, MA

Experience the comprehensive and nationally acclaimed two-day Blueprint for OASIS Accuracy workshop and learn to confidently teach, audit, and collect OASIS-D items accurately. Through guided, expert instruction, and participation in problem-solving discussions and application scenarios, achieve mastery of the OASIS items, conventions, and the latest data collection rules.
Rather than provide opinions, assumptions, or unfounded interpretations, the “Blueprint” presenters will model reliance on CMS guidance documents and provide and demonstrate strategies for how to find defendable answers to your OASIS questions.

REGISTRATION
HCA Members: $429/Person
Non-Members: $549/Person

PDGM Comittee Meeting, November 18
Networking Meeting, 10:00-12:00, Milford, MA

Clinical Leadership Development and Care Coordination Under PDGM

PDGM introduces complex challenges and heightens the importance of efficient discipline utilization while maintaining quality care outcomes. The role that the clinical manager plays in this care management process can make or break success under the new model. This session will cover strategies for effective collaboration of care and agency leadership development in order to maintain focus on patient-centered quality care delivery.

Registration: FREE
HCA MEMBERS ONLY!!

PDGM Clinical Episode Management Webinar, November 21
Online Webinar, 2:00-3:30PM

Clinical episode management takes on an even more critical role under PDGM. This session will describe how effective clinical episode management is the foundation for improving both patient and agency
outcomes as well as improving regulatory compliance. We will review tactics for management of the 30 day payment period and explain the new LUPA thresholds and show that effective clinical episode management will be key to ensure patients are receiving appropriate, cost-effective, quality care. We will discuss strategic planning for implementation of clinical episode management best practices within the agency, and strategies to enhance communication and collaboration between all disciplines.

REGISTRATION
HCA Members: $79/Line
Non-Members: $159/Line

PDGM Billing Series, December 2, 3, 4, & 5
Online Webinar Series, 11:00AM-12:30PM

PDGM is fast approaching and a lot of changes are coming with it. HCA has partnered with Melinda Gabourey, CEO of Healthcare Provider Solutions, to put on a 4-part webinar series, each 90-minutes long! The series will run daily from 11:00AM-12:30PM.
Sessions include:
• PDGM Structure & Financial Impact
• PDGM Coding & OASIS Integrity
• PDGM Operational Decision Necessities
• PDGM Revenue Cycle Changes

REGISTRATION
HCA Members: $79/Line per Webinar -OR – $299/Line for Full Series
Non-Members: $149/Line per Webinar -OR – $549/Line for Full Series

2019 Financial Management Conference, December 10
Conference, Worcester, MA, 9:00AM-4:00PM

This years financial conference will cover topics on PDGM, VBP, Billing Compliance, and Managed Care. The following PDGM session will be by Mike Care of Axxess:
PDGM is almost here, now is the time to ensure you are ready for the changes. This session will review where you should be, and how to get there if you’re not. Carr will provide a high level overview of PDGM as well as understanding how past performance will be impacted by PDGM. Other elements to be discussed include technology challenges, therapy impact, and measures for survival.

REGISTRATION
HCA Members: $149/Person
Non-Members: $299/Person

2020 Leadership Summit Pre-Conference, January 28
Conference, Boston, MA, 1:00-4:30PM

Vision Quest: Refining Your Personal Leadership Style for Success Under PDGM and After
We will start the summit with an interactive exploration of what industry and leadership issues you are hear to work on! After breaking it all down, we will engage in some self reflection on your leadership journey to date and how that has or has not got your prepared to meet today’s challenges. The session will continue with an instructional tutorial that will help to make you a better more confident and ultimately successful leader. Put it all together with a set of top industry experts on the journey to PDGM success.

REGISTRATION
Go to http://www.nehomehealthsummit.com for more information!

PDGM Impact on Therapy Practice, March 5
Online Webinar, 1:00-2:30PM

CMS has changed the PPS case mix system “to rely on patient characteristics to set payment for therapy and non-therapy services and should no longer use the number of therapy visits as a payment factor.” The practice patterns and therapy compensation creep associated with the PPS methodology up until 2020 will fit poorly with a case mix system not relying on a therapy visit number. However, practice pattern changes do not occur as abruptly as payment changes.
This session will review the new Patient Driven Groupings Model (PDGM) and how therapy can and should impact the groupings within their own agency. We will then apply reasonable and necessary plans of care to typical home health conditions and link them to the outcomes agencies strive to achieve. Participants will learn to prepare changes in practice and to demonstrate the value therapy services can bring to the home health agency.

REGISTRATION
HCA Members: $79/Line
Non-Members: $159/Line

Journey to PDGM Success Seminar by Axxess, November 5

HCA of MA Members receive a $50 discount on their registration.
Use code: HCAMA2020 at check-out!

For the most up to date information on all upcoming events:
www.thinkhomecare.org/education