HHVBP and Star Ratings – Updates and Keys to Success
The Quality of Patient Care Star Ratings criteria changed in 2018 and the HHVBP program criterion has been updated. These changes identify the importance of designing clinical operations to directly address areas of outcome weakness to optimize their results to achieve a 5 Star status and HHVBP bonuses.
Home Health Payment Reform – HHGM and Unified Post-Acute Payment
The purpose of this presentation is to discuss how different home health reimbursement methodologies will affect what agencies get paid and the implications for how they run their business.
Navigating Payer Minefield – Contract Management
As managed care and commercial payers squeeze payment rates, increase requirements, and introduce value-based and other alternative payment models, home care leaders need to ensure their reimbursement contracts are organized and favorable. There are many different kinds of reimbursement contracts and new ones will likely appear as reimbursement systems and requirements become more complex. Understanding how to negotiate terms and conditions of contracts is increasingly important, as is the need to implement operations to attain success in managing contracts.
Hospice Business Improvement: Part 1
Hospices face daily challenges in navigating an increasing regulated and competitive marketplace. As a result, the need to accurately monitor all performance aspects of your hospice is more critical than ever. Where do you start? How do you create and maintain a relevant dashboard to monitor on a daily basis how your operations are performing? How do you gather the appropriate data in order to make meaningful decisions? This session will give you the tools to develop a dashboard of key performance indicators for your hospice.
Forget What You Knew about Mergers, Acquisitions, Joint Ventures in Home Health and Hospice: It’s a Whole New Ball Game
In the past, you could count on the “nationals” and large regionals to continue on a path of consolidation within their niches. No more. With alternative payment models re-writing the value proposition of health care providers, size is no longer the goal. In fact, it may be a liability.
Grow Your Agency Through Outpatient Therapy or Behavioral Health Programs
Home health leaders are searching for alternative programs to broaden and deepen their agency service lines. Outpatient therapy services can be successfully delivered by home health agencies to reach new populations of non-homebound patients. Other home health agencies are delivering behavioral health services using several different models. Is one right for your agency? Learn how others have successfully incorporated outpatient therapy or behavioral health programs into their home health agencies.
Hospice Business Improvement: Part 2
As part of a comprehensive program to manage the performance of your hospice, a dashboard of key performance indicators was developed in Part One. Now that you have this dashboard, it is very important to understand how to interpret what the dashboard is telling you about your hospice operations. Using this information, you can make the best educated decisions on how to adjust your operations and strengthen your hospice program. This session will focus on actual case studies and best practices in order to identify specific suggestions on how to improve your key performance indicators.
Surviving a Home Health Audit
As Medicare continues to scrutinize home health agencies and their documentation, a survival mentality must prevail. Whether faced with a Zone Program Integrity Contractor (ZPIC) audit, a Recovery Audit Contractor (RAC) or a Targeted Probe & Educate (TPE), there are processes that must be followed in responding to these challenges. In addition to dealing with the audit, how did your agency get there? The risk an agency carries is overwhelming and many need help identifying their greatest risks areas. The session will equip you with all the tools to fight the audit battles and win!
Evaluating the Feasibility of Starting a Palliative Care Program
As competition grows in the post-acute care market, so does the need for home health and hospice providers to diversify by offering more services on the continuum of care. A palliative care program can offer agencies the ability to bridge services between their core business while providing patients a holistic care model. But at what cost?
Home Health Business Improvements: Part 1
With decreasing payment rates for Medicare, increasing regulatory demands, a growing non- Medicare patient population, and competitive market place, it is of the utmost importance to strategically align your data to drive both financial and clinical outcomes. How do you organize and prioritize your data to maintain meaningful dash boards? What key performance indicators will drive an agency towards a successful operation both financially and clinically? How do you organize data by staff, team, and location? What are the best methods to share the data across the agency to align strategic goals?
Hospice Revenue Cycle Management
Effective management of the hospice revenue cycle is an evolving challenge, as cash flow optimization efforts must always be balanced against potential compliance threats. Individual states continue to adopt Medicaid managed care, significantly complicating the hospice revenue cycle, and the hospice benefit continues to draw interest from both Medicare and Medicaid program integrity contractors. As the possibility of Medicare Advantage coverage for hospice continues to loom, it is important for hospices to take action now to assess for potential revenue cycle optimization opportunities, as the consequences to cash flow can be dire if processes are not effectively managed. Additionally, the Medicare targeted probe and educate (TPE) process implemented late in 2017 has significantly increased the potential risks of poor revenue cycle or documentation management practices.
How to Communicate the Value – Hospice
As hospices face increased direct competition, new forms of indirect competition, and narrowing networks, it’s increasingly important to be able to communicate the value of hospice and differentiate your organization from others. Simultaneously targeting both strategic partners as well as day-to-day direct referral sources requires tailored approaches, and today’s partners and referral sources have clear ideas of what they want and need from end-of-life providers. This session will help you hone your targets and messages to allow you to better connect with a wide range of “customers” for your hospice services.
Home Health Business Improvements: Part 2
Now that your agency has dashboards with key performance indicators how do you operationalize this information to meet your strategic goals? What are the changes that need to be made to operations, staffing, or structure? What process improvements can be made both clinically and in operationally? How do you meet your agencies strategic growth strategy while still providing quality care to patients? This session will focus on actual case studies and best practices to identify specific suggestions on how to improve the agencies financial and clinical performance.
Surviving a Hospice Audit
As Medicare continues the scrutiny of hospices and their documentation, survival quickly becomes the mentality. Whether faced with a Zone Program Integrity Contractor (ZPIC) audit, a Recovery Audit Contractor (RAC) or the agency is subject to Targeted Probe & Educate (TPE) there are processes that must be followed in responding to these audits. And why did your hospice get audited in the first place? The risk that a hospice carries is overwhelming and many need help identifying where/what their greatest risks are. This session will delve into the reporting that may trigger an audit, such as PEPPER reports, and will equip you with all the tools to fight the audit battles and win!
The “How” and “Why” to Outsource/Centralize Operations
There are many new business practices taking shape in the home care/hospice industry. Outsourcing is one business practice used by companies to reduce costs or improve efficiency by shifting tasks, operations, jobs or processes to an external contracted third party for a significant period of time. This same process of centralization is utilized by many companies internally to achieve the same outcome. Home care/hospice agencies must enact smart change management techniques to prepare for this new practice.
What is Happening in Health Care Outside of Home Care: How it Will Affect You
The transition to value-based purchasing, the rise of new care models, and rapidly changing mandates create a complex set of challenges for healthcare leaders, many of whom have traditionally focused most of their attention on their own environment of care. It is a substantial change to go from focusing on home health care and/or hospice only to where does your agency fit within the healthcare continuum. This change brings significant opportunity.
Home Health Revenue Cycle Management
Effective management of the home health revenue cycle is an evolving challenge, as cash flow optimization efforts must always be balanced against potential compliance threats. As new payers continue to emerge, the complexity of the revenue cycle continues to change and when processes are not effectively managed the consequences to cash flow can be dire. Additionally, the Medicare targeted probe and educate (TPE) process implemented late in 2017 has significantly increased the potential risks of poor revenue cycle or documentation management practices.
How to Communicate the Value of Home Health
As post-acute networks mature, physician referral patterns evolve, and managed care expands, the ability to communicate your value proposition becomes one of the most critical success factors for home health providers.
How to Prepare Your Hospice for the Future
There are a myriad of environmental changes impacting hospice providers, and an appropriate strategic response is necessary to maintain financial viability. An increased focus on operational excellence, improved collaboration, and a strong understanding of reimbursement and regulatory changes will be paramount in this evolving health care landscape. Operational teams within the organization will need to be engaged – to foster collaboration internally and externally, open discussions on best practices, and search for insights into ways that can best prepare the hospice to sustain success along with future viability of the organization.
Staffing, Recruitment and Retention
The expansion of home care services has led to a shortage of qualified home health field staff. Hospice providers have additional challenges given the turnover rates of nurses and aides. Agencies that meet their staffing requirements will be able to meet the increasing demand for services.