The Ohio Council for Home Care & Hospice (OCHCH) is a non-profit association that serves as the voice of health care at home in Ohio, advocating on behalf of the industry and the individuals and families we serve.
We are a valuable resource to our members and provide continuing education with our workshops, webinars, online learning solutions, regional regulatory meetings, as well as our Annual Conference and Trade Show. We have a staffed help desk for regulatory and procedural questions and finally, we provide a community of agencies to provide support and help each other find success in serving others!
OCHCH offers educational opportunities as part of a comprehensive set of tools and resources to support your agency’s clinical skills, managerial operations, and regulatory requirements. From frontline caregivers to health care executives, OCHCH education programs ensure agencies have the tools they need to thrive.
As the voice of health care at home in Ohio, OCHCH works together with our members to speak assertively and thoughtfully for the interests of the industry. OCHCH ensures our members’ interests are protected and supported by working alongside legislators and other policymakers.
OCHCH members get answers to the toughest compliance, reimbursement, and regulatory questions. Our Help Desk Online and our regulatory experts ensure members receive support for questions dealing with complex subjects.
- By Beth Foster, RN, BA, CPHQ, CEHCH Palmetto GBA has received questions regarding the claim approval rate calculation results while in the RCD. Palmetto responded with - Please be reminded: There are NO recalculations for the RCD end of cycle results. OUR TAKE: This means the 6 month cycle results cannot be appealed or [...]Learn More
- OCHCH Bulletin January 7th, 2020 HAPPY NEW YEAR!!! We are doing our best work in making sure that the Weekly Bulletin can easily be visually scanned, so that you can get the information and save time! So the emails will contain the headlines from the entire bulletin. However, since this is a benefit [...]Learn More
OCHCH is happy to partner with the Department of Labor to bring you this webinar covereing the Fair Labor Standards Act. This webinar will give real-life examples of common mistakes employers make and the kinds of solutions the Department of Labor has implemented to both correct the errors and ensure future compliance for agencies.Learn More
OCHCH is happy to partner with the Kansas Home Care & Hospice Association to bring your this great webinar opportunity. Overview: Hospice Coding Update Tuesday, February 11, 2020 Objectives:
- Examine current hospice coding issues including identifying the terminal illness, identifying and coding related diagnoses, and determining unrelated diagnoses.
- Review diagnosis codes that are prohibited from use as a principal (terminal) diagnosis and examples of etiology/manifestation conventions to ensure compliance with applicable coding guidelines and CMS hospice coding directives.
- Discuss hospice scenarios for circulatory conditions, mental health and behaviors, and sign/symptoms coding.
Feb. 13th - Medicare Home Health Billing Series, Part 1 – Intake, Orders, Prebill Audits The Patient Driven Groupings Model (PDGM) is effective January 1, 2020. This is the most massive change to the home care industry reimbursement structure since the introduction of the current Prospective Payment System (PPS) in October 2000. The new payment model dramatically impacts agency operations, processes and performance. Agencies must develop and implement plans to successfully transition to PDGM. This workshop will discuss key areas, strategies and processes in preparing an agency for PDGM. This workshop will have a focus on changes to the 30-day payment model which will bring significant back office changes, specific to the claims processing and collections. Summarize key areas of agency operations impacting Revenue Cycle under PDGM. • Discuss necessary modifications to the intake and referral process under PDGM, including Face to Face Requirements • Review Order Management • Review significant pieces of the PreBill Audit Process Feb. 20th - Medicare Home Health Billing Series, Part 2 – Billing & Collecting RAPs & Final Claims PDGM brings many changes to the Billing process, including almost doubling the volume of claims as compared to 2019 that will be sent and multiple changes to the data on the claims. The billing volume for 75% of the current Medicare episodes is likely going to DOUBLE under PDGM. With RAPs and Finals being required every 30 days instead of 60, agencies may need to expand their Revenue Cycle teams. This webinar will cover details regarding the actual billing changes that will need to occur under PDGM. This webinar will take you through details of billing under PDGM and will review the process that the Medicare MAC will go through to calculate the HIPPS code and pay the claims. Lastly, this webinar will cover the proposed changes from a RAP to NOA for 2021. There will also be a discussion of the overall impact on the revenue cycle under PDGM. PDGM Billing Changes • Detail the changes to the billing process under PDGM • Detail the specific changes to RAPs and Final Claims that is currently available. • Review the specific impact on billing under PDGM if agency is under RCD • Review the Revenue Cycle structure and the key points at which tweaks will need to be made under PDGM.Learn More
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OCHCH is building a coalition of champion policymakers and we need your support! By donating today, you can help keep public officials in office that support our industries and champion our issues. Let’s create the future together.