Maximize Your Educational Opportunities

The concurrent breakout sessions will feature educational programs from industry experts across the Nation, addressing critical topics in home health and hospice. Attendees have the opportunity to earn up to 11.75 continuing education contact hours.

Ohio Council for Home Care & Hospice is an approved provider of continuing nursing education by the Ohio Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.  (OBN-001-91) (OH -157, 4/1/2019). The Ohio Council for Home Care & Hospice is an approved provider for The Accountancy Board of Ohio (number CPE.122).

After the conference, audio recordings will be made available to attendees at no additional cost.

Tuesday Sept 11 | 10:45am - 11:45am | Concurrent Sessions

Barbara Citarella, RN, MS, CHCE, NDHP-BC

In 2016, 11.5 million opioid prescriptions were misused and approximately 116 people died daily from overdose. As we treat chronically ill and terminal patients, we have the ability to educate these individuals and their families on the correct use of opioid medication. It is our responsibility to ensure the safety of our staff. This session will address a number of issues impacting our scope of patient care.

J’non Griffin, RN, MHA, HCS-D, HCS-H, HCS-C

There are several updates to the 2019 OASIS including removal of items and addition of items to be in compliance with the IMPACT Act. M items will be replaced by a new array of alpha items. These items will require more specific information to be assessed and obtained. Learn what agencies and clinicians need to know to get ready to be OASIS compliant.

Tom Underwood & Steve Pellito

The 21st Century Cures Act mandates that all Medicaid reimbursed home care providers use an EVV solution. Learn how to embrace the requirement and let the mandate drive business value. Based on over 20 years of EVV experience, Sandata will share some best practices and processes to help improve compliance, patient care, and quality of service.

Laura Page-Griefinger, RN, BSN, MPA

This session will review the new Conditions of Participation to ensure your agency is meeting these requirements. Learn what has worked and what has not worked at other agencies. Examine where agencies are having difficulties and how to improve.

Melinda Gaboury, COS-C

PDGM is the largest change home health has seen since the inception of PPS in 2000. While this rule has not been finalized, it is proposed for 2020 implementation.  PDGM replaces the 60-day payment episode of care with two 30-day periods of payment and places patients into one of 216 payment groups. This session will provide an overview of PDGM, review the structure of payment groupings, discuss the multiple ways of calculating Low Utilization Payment Adjustments (LUPA), and more.

Dave Macke, MBA, CHFP, FHFMA

The Hospice Medicare Cost Report requires significant changes in the reporting of revenues and expenses. This session will review the cost report forms and instructions, data requirements and lessons learned, as well as highlight some benchmarks from prior cost reports. The changes implemented this year by CMS will also be discussed. Proper financial statement format is a plus. Learn how to do it right before it is too late.

Tuesday Sept 11 | 1:15pm - 2:15pm | Concurrent Sessions

Charles von Gunton, Stephanie Abel, PharmD & Sarah Persinger, PharmD, RPh

Various concerns with the implementation and use of medical marijuana will be discussed, including:

  • Employment concerns: workman’s compensation, patient safety, operating vehicles
  • Home care concerns: drug interactions, safe dosing, administering and patients using marijuana with staff in the home
  • Hospice concerns: hospice physician recommendations, safe dosing and liability
  • Other legal concerns
Donna Berry & Yolanda Riley

Implemented in October 2017, the Targeted Probe and Educate (TPE) examines selected providers of a service rather than all who deliver that service. This session will offer a plan providers can follow to manage the TPE audit process; discuss a proactive strategy of clinical and compliance review prior to claim submission; and offer tips and procedural concepts for responding to documentation requests and initiating appeals.

Tim Rowan, MA

Learn what automation can do for you. New software companies are emerging with products to reduce payment denials, improve patient outcomes, enhance physician/hospital coordination, and enable system interoperability. This session will identify problems experienced by providers and introduce affordable tech solutions.

Joe Osentoski, BAS, RN-BC

Medicare Advantage (MA) plans are proliferating, and with this have come increased reviews by the plans and their contractors. While these should follow the Medicare Managed Care Manual guidance, there is often substantial variance from the CMS requirements, as well as how the MA plans apply Medicare coverage guidelines. This session addresses the most common areas of discrepancy and provides tips on responding to MA Additional Document Requests (ADRs) and appeals of MA denials.

Barbara Citarella, RN, MS, CHCE, NDHP-BC

One of the four main components of the emergency preparedness regulation is testing and training. This session will help agencies meet the tabletop requirement by exercising with other agencies. Attendees will receive an after action report to take back to their agency and drill down even further. This exercise will be a clinically relevant scenario led by a facilitator and will meet federal requirements.

Melinda Gaboury, COS-C

This session will review the Targeted Probe & Educate audit process. Learn how to respond to these record requests as well as the subsequent audit findings. The timeliness for responses and the recoupment process will be defined. This session will describe likely risks for hospices and how to monitor those risks, including analyzing PEPPER reports. Lastly, attendees will receive a checklist of required documentation and a checklist of things to review in the chart before submitting.

Wednesday Sept 12 | 10:45am - 11:45am | Concurrent Sessions

Elizabeth Zink Pearson, Esq.

Marketing health care services is unlike any other business marketing because of significant legal restrictions imposed by Federal health care programs, like the Medicare and Medicaid Anti-kickback Act, The Stark II law, and Anti-inducement laws and regulations. This session will discuss these and other laws impacting marketing programs. Instruction will be provided on the safe harbors that can protect certain marketing practices and business relationships. This session will also examine innovative CMS programs, including BPCI and ACO’s and how home health and hospice agencies can gain entry into those programs.

Arnie Cisneros, PT & Kimberly McCormick, RN, BSN

Providers are being confronted with VBP, HHGM , and Post-Acute PPS. This presentation outlines how agencies can survive these reforms by rewiring their care model in value terms. Learn to gain control over your patient episodes in-house where they can be managed to the new care goals. Learn how to implement better clinical and fiscal outcomes.

Robert Floyd

This session will present real world examples of dealing with complaints that highlight positive outcomes. Complaints often result in surveys which frequently result in deficiencies. Find out how using a positive growth perspective for complaints can assist in delivering stellar customer service as well as limiting exposure to deficiencies and overall risk. Shift your agency’s focus on complaints to use them to empower solid change.

Donna Floyd, RN, BSN

Connecting with the client can be challenging. This session will review evidence based studies and provide examples to connect with the client, develop personalized goals and to increase client participation in the care. Efficient cost-effective patient management techniques support all home care providers. Starting with a strong personalized care plan and goals results in increased client outcomes and strong satisfaction survey results.

Jennifer Leatherbarrow, RN, BSN, RAC-CT, QCP, CIC & Donna Berry

Full and appropriate documentation is essential to support medical necessity, ensure reimbursement and provide evidence of patient outcomes. This session will identify strategies for enhancing documentation from a regulatory and payment perspective, describe methods for strengthening documentation from a legal perspective, and discuss the requirements of the clinical summary focusing on better, rather than more, documentation.

Katie Wehri, CHC, CHPC

This session will explain the changes to hospice payment, describe the HEART (and implementation details as included in the rule), describe other updates to rules, and explain the impact of the changes on hospices.

Wednesday Sept 12 | 2:30pm - 3:30pm | Concurrent Sessions

Cheryl Reid-Haughian

This session will showcase how a care delivery management solution can positively impact care and service delivery, while going beyond simply proving visits and complying with EVV requirements. We will highlight an Ohio agency’s experience preparing to meet the regulations with the use of technology. Learn about efficient, effective approaches that improve productivity, and value and client out- comes as part of compliance with the Conditions of Participation.

Dr. Colleen Pema, Laura Rozcicha, & Dr. Christian Jacobus

In this session, the panel will discuss various palliative care models and topics, including transitions of care, cost savings at home, reduced hospitalization, and operations.

Katie Wehri, CHC, CHPC

This session will provide a summary of Hospice Compare and provide a walk through of what a hospice should be doing to manage its compare scores. In addition to reviewing the lessons learned in the first year, this session will provide information on the Hospice CAHPS survey data being added to Compare in winter of 2018, what to expect, and how to prepare.

Renee Coughlin, PT, DPT, MHS & Moira Dugan, MSW, LISW-S

Behavioral health conditions impact over 20% of adults aged 60 and older. Often undiagnosed or untreated, they are, nonetheless, deeply entangled with chronic disease management. Home health agencies are uniquely suited to play an integral role in complex care management and coordination of this population. This session will discuss the challenges behavioral health issues present, as well as innovative programming and partnerships aimed at a team approach to care and promotion of “wrap-around” services across providers and care settings.

Melissa Hernandez, RN, HCS-D, HCS-O

The Home Health Plan of Care is the number one condition-level deficiency found on an accreditation survey. Learn what you need to make your POCs ready for your next survey, especially with the new Conditions of Participation. Understand how the new CoPs affect what is needed on the POC and the additional documentation required to stay in compliance. Get the tools necessary to review your Plans of Care for accuracy.

Beth Foster, RN, BA, CPHQ, CEHCH & Kathy Royer, RN, MBA, DMin, CHPN, CHPCA, CEHCH

This session will discuss the impact of state and federal regulations on home health and hospice agencies focusing on Medicaid and providing guidance on what agencies must do to meet these requirements.