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  • THIS IS A VIRTUAL EDUCATION EVENT Program Description:  OCHCH is excited to introduce this new workshop, designed for hospice professionals that are stepping into a management role.  This program provides hospice-specific information that helps leaders and managers develop the skills they need to meet the challenges and changes they face in managing successful hospice programs, systems and caregivers.  Our introductory Hospice 101 course provides the basics of hospice care operations.  Hospice 201 is the next level.  This workshop offers suggestions for identifying the clinical issues that impact financial performance, and offers guidance on managing the relationship between the quality, clinical and the financial areas of the agency.  We’ll also provide strategies to refine and improve billing performance, reduce denials, improve profitability, and increase quality outcomes. Program Objectives:

    • Describe the role of hospice care in population care management.
    • Identify current state/ federal legislation and regulations affecting hospice care programs.
    • Describe methods to enhance the financial performance of a hospice program.
    • Describe how to manage staff performance to enhance agency reputation.
    • Identify the challenges and strategies to improve billing performance and reimbursement issues.
    • Identify opportunities and challenges posed by new quality reporting requirements for hospice programs.
    • Discuss current issues impacting the provision of hospice care in a long term care facility.
    • Identify useful operations management techniques through the use of dashboards and benchmarking.
    Presenter: Kathy Royer, RN, MBA, DMin, CHPN, CHPCA is the hospice regulatory director for the Ohio Council for Home Care and Hospice.  She is a registered nurse with more than 23 years of experience in hospice.  She served as a corporate division director with a demonstrated history of improvement in quality scores.  She has expertise in hospice and hospital environments.  Kathy is skilled in corporate leadership development, operations management, regulatory consultation, coaching, Palliative Care, team building, and as a cultural change agent.

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  • Program Overview: Challenging PDGM Coding Scenarios Two of the five PDGM categories are directly linked to coding: Clinical Grouping and Comorbidity Adjustment. PDGM requires Home Health Agencies to ensure that a patient is appropriate to be admitted to Home Health by having an acceptable primary diagnosis. What happens when the only diagnosis you have from the physician is an unaccepted diagnosis? What if the clinical record doesn’t align with the primary diagnosis? What about comorbidities? During this session, through case study analyses, we will explore some of the issues that can arise with ICD-10 CM coding under PDGM. We will discuss action plans agencies can implement to manage these challenging coding issues. Presenter: Sharon Litwin - Healthcare Provider Solutions, Inc.

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  • This workshop will be virtual!!
    This two-day workshop will take agencies through the current state of the Patient-Driven Groupings Model (PDGM) and move through all the aspects of Medicare home health reimbursement. June 8th - Day 1 Virtual Medicare PDGM Workshop The PDGM has brought many changes to home health and the PDGM is not all that reimbursement is made up of. In addition to working through the fine details of the PDGM changes, the workshop will also cover extensive examples for Low Utilization Payment Adjustments (LUPAs), Partial Episode Payments (PEPs), and outlier adjustments. There will be a discussion of pre-billing claim reviews and the significance of them. Day-to-Day Revenue Cycle under the Patient-Driven Groupings Model with COVID-19 Updates
    • Evaluate the PDGM Structure
    • Detail the significant impact of intake on revenue cycle
    • Health Insurance Prospective Payment System (HIPPS) code and episode exceptions review
    • LUPA, PEP, and outlier calculations
    • Describe the process for effectively auditing a chart for purposes of identifying pre-bill issues, including non-routine supplies
    • Details of billing Requests for Anticipated Payment (RAPs) and final claims
    • OASIS and ICD-10 coding impact on reimbursement
    June 9th - Day 2 Virtual Medicare PDGM Workshop The impact of OASIS, ICD-10 coding, and medical review programs have the potential to more directly impact reimbursement than some of the other aspects of the PDGM, and this workshop will get you up to date on all of that as well. Additionally, with cash flow being one of the gravest areas of concern for providers in recent months, this workshop will take you through the basics of cash flow projections and how best to make that work in your organization. Home Health Reimbursement: Beyond the PDGM with COVID-19 Updates
    • OASIS and ICD-10 coding
    • Medicare secondary payer
    • Detail credentialing with managed care and issues surrounding getting paid
    • Establish processes for effectively monitoring ADR/Recovery Audit (RA), and Unified Program Integrity Contractor (UPIC) reviews
    • Monitoring and evaluating your Program for Evaluating Payment Patterns Electronic Report (PEPPER)
    • Factoring the Review Choice Demonstration into the PDGM
    Presenter: Melinda Gaboury- is co-founder and Chief Executive Officer of Healthcare Provider Solutions, Inc., an organization out of Nashville, TN that provides financial, reimbursement, clinical and operation services to the home health and hospice industries.  With more than 27 years of experience in Medicare Home Health, she is a presenter at both the state and national levels, and is interviewed frequently for national home health publications.  Ms. Gaboury is also the author of "Home Health Guide to OASIS D: A Reference for Field Staff."  Ms. Gaboury has no conflict of interest in regard to this program.

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  • This a Virtual Workshop Overview: During this workshop, to refresh the student with material aligning with the test plan in preparation for taking the Certified Hospice & Palliative Nursing Assistant (CHPNA) certification examination given by the Hospice & Palliative Credentialing Center (HPCC). Program Objectives:

    1. Overview of Hospice and Palliative Care Nursing Assistant Practice
    2. Review Nursing Assistant role in pain and symptom management
    3. Discuss ethical issues in Hospice and Palliative care
    4. Discuss the importance of communication with patients, families and care providers
    5. Review cultural considerations
    6. Discuss spiritual care, loss and bereavement in hospice care
    7. Review care at the end of life
    8. Discuss Nursing Assistant personal and professional development
    Presenter: Kathy Royer - OCHCH

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  • Program Overview: Hospice Pepper Webinar This session will take agencies through the winding road of Medicare scrutiny. While billing the Medicare benefit and getting paid relatively easy, there is always a risk of things being reviewed at some point and what can you do to avoid denials. This session will discuss PEPPER reports and other data analysis that agencies will need to review to ensure that their risk from medical review is limited. Don’t be caught in the comfortable position of believing that everything is okay. Attendees will take away information that will assist in assuring that your hospice truly is accurately documenting. Learning Objectives: * Outline the targets that are calculated on the PEPPER Reports * Detail the targets and other data from the PEPPER reports that is used to evaluate a hospice’s performance * Detail the top reasons hospices are targeted for medical review that correlate to the PEPPER Presenter: Melinda Gaboury, is co-founder and Chief Executive Officer of Healthcare Provider Solutions, Inc., an organization out of Nashville, TN that provides financial, reimbursement, clinical and operation services to the home health and hospice industries.  With more than 27 years of experience in Medicare Home Health, she is a presenter at both the state and national levels, and is interviewed frequently for national home health publications.  Ms. Gaboury is also the author of "Home Health Guide to OASIS D: A Reference for Field Staff."  Ms. Gaboury has no conflict of interest in regard to this program.

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  • Program Overview: Building a successful QAPI program An Effective Hospice Quality Program is a key component to a well-run organization! This session will focus on understanding the hospice QAPI CoP and knowing the rules for the condition. We will detail the steps for building a successful QAPI program as well as developing action plans to ensure your agency’s QAPI program is effective. You will learn how utilizing your hospice QAPI program to the fullest will improve your agency's compliance and performance. Presenter: Sharon M. Litwin, RN, BSHS, MHA, HCS-D Sharon Litwin is currently Senior Manager of Coding & Clinical Consulting at Healthcare Provider Solutions, Inc.  Sharon is the  founder and was the senior managing partner of 5 Star Consultants, a national consulting and coding firm specializing in homecare and hospice services since 2003.  Sharon was an ACHC and CHAP surveyor, performing Medicare deemed surveys for ten years. She is a current ACHC Certified Consultant. Sharon assists homecare and hospice agencies in providing quality, meeting regulations, ICD-10 coding, OASIS, increasing outcomes and Star Ratings, and having continued survey readiness.  Sharon and HPS staff perform ICD-10 coding and OASIS reviews, QAPI, clinical record reviews, mock surveys and help agencies across the country stay in compliance.  Sharon is a regular speaker for education companies, state and national associations and publications.

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  • Program Overview: Change is the name of the coding game. New codes, new tabular list changes, new guidelines and new Coding Clinic interpretations, plus new home health payment changes require us to stay ahead of the game. Increase your knowledge and understanding and gain the expertise your agency needs to survive in this comprehensive two-day intermediate to advanced coding course specific for home care coders. Increase your understanding of the regulatory aspects and ethics of diagnosis coding and utilize lots of examples to increase your skills, proficiency, speed and accuracy in choosing the appropriate ICD-10-CM codes. Attendees will be able to demonstrate proficiency in complex coding scenarios and be ready to tackle home care charts with confidence. We will apply Prospective Payment System reform, known as PDGM, to scenarios so that home health participants will understand payment implications and compliance issues. With government auditors targeting home care, now is the time to ensure that you are coding correctly and protecting your revenue. You MUST have a Current 2020 or 2021 ICD-10-CM Coding Manual for this Virtual Workshop The most current version of ICD-10-CM coding manual is available through Selman-Holman at https://selmanholmanassociateswebstore.mybigcommerce.com/2020-complete-home-health-icd-10-cm-diagnosis-coding-manual/  (follow the links to the bookstore; discount provided in cart) or by calling 214-550-1477 ext. 7 to ensure you receive the 2021 version.
    This class is designed with intermediate coders in mind.  We recommend a review of the ICD-10-CM Official Guidelines for Coding and Reporting for 2020, pages 1 -20 of the document found at: https://ahcc.decisionhealth.com/media/1241/icd-10-cm-guidelines-ahcc-2020.pdf prior to the workshop. These pages describe and define the Coding Conventions (Section I.A) & General Coding Guidelines (Section I.B).  It is expected that intermediate coders already possess this foundational knowledge as it will not be the focus of this class.  Your pre-class efforts will greatly enhance your learning experience. Presenter: Lisa Selman-Holman, JD, BSN, RN, HCS-D, COS-C, HCS-O, HCS-H, has more than 30 years in home care as a RN and Attorney practicing exclusively in home care. She is the Owner of Selman-Holman & Associates, LLC & CoDR-Coding Done Right. Additionally, Lisa sits on the Home Care Coding Specialist-Diagnosis (HCS-D) national advisory board for the Board of Medical Specialty Coding and Compliance (BMSCC) Board HCS-O for OASIS Competency.

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  • This will be a virtual workshop Program Overview: Knowing and understanding Hospice Quality Reporting is vital for positive Hospice patient outcomes as well as avoidance of potential negative financial impact.  During the workshop we will discuss the evolution of Hospice Quality reporting, current and future Hospice Quality Reporting requirements, ways to make your Hospice Quality program more robust and ways to get buy-in from front line staff as well as leadership in the organization. Who Should Attend: This workshop is designed for anyone who participates in the Hospice quality program which includes staff who are new to Quality, seasoned Quality staff, Quality Team members and Leadership. This workshop will address:

    • Review the evolvement of Hospice Quality from voluntary to mandatory reporting
    • Review the Hospice Quality Reporting requirements
    • Discuss future trends and challenges of Hospice Quality Reporting
    • Discuss agency-wide (from front-line staff to leader) ownership of the Quality Program
    Presenter: Kathy Royer, RN, MBA, DMin, CHPN, CHPCA is the hospice regulatory director for the Ohio Council for Home Care and Hospice.  She is a registered nurse with more than 23 years of experience in hospice.  She served as a corporate division director with a demonstrated history of improvement in quality scores.  She has expertise in hospice and hospital environments.  Kathy is skilled in corporate leadership development, operations management, regulatory consultation, coaching, Palliative Care, team building, and as a cultural change agent

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  • THIS WILL BE A VIRTUAL EDUCATION EVENT Description: The purpose of this virtual workshop is to give attendees an up-to-date overview of the operations of a Medicare/Medicaid certified hospice.  The participants will gain knowledge of the Conditions of Participation (CoP), describe Medicare certification and licensure, define hospice core services, levels of care, plans of care, notice of election, revocation, discharge and transfer.  A brief overview of the billing process for Medicare and Medicaid and the basic elements of cost reporting will also be provided. Who Should Attend: This program is developed for newly certified hospice staff including administration and clinical; new staff of an existing hospice; social workers, and private duty hospice administrators considering becoming Medicare certified. This virtual workshop will address:

    • Coverage and services available under the Hospice Medicare Benefit
    • Conditions of Participation specific to the Hospice Medicare Benefit
    • Coordination of care requirements for the hospice patient in a nursing facility
    • Medicare’s billing and reimbursement processes for hospice care
    • Hospice program differences between Medicare and Ohio Medicaid
    • Strategies for managing hospice patients under a PASSPORT/Waiver service plan
    • Operational processes important to hospice care and program management
    • Available resources related to hospice care delivery and program management
    Presenter: Kathy Royer, RN, MBA, DMin, CHPN, CHPCA is the hospice regulatory director for the Ohio Council for Home Care and Hospice.  She is a registered nurse with more than 23 years of experience in hospice.  She served as a corporate division director with a demonstrated history of improvement in quality scores.  She has expertise in hospice and hospital environments.  Kathy is skilled in corporate leadership development, operations management, regulatory consultation, coaching, Palliative Care, team building, and as a cultural change agent.

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  • Program Overview: October 14- Hospice Billing Series: Part 1 – Eligibility Requirements & Notice of Election The 2020 Hospice Rule brought some significant changes in reimbursement as well as the content of the actual Election Statement and future Addendum. New and experienced hospice billers periodically need a review of eligibility requirements. Eligibility and requirements for Notice of Election will be detailed during this webinar. The updates to being able to correct a Notice of Election that was not filed, within the allowable time, will be reviewed. This session will walk through the Late Notice of Election and the exceptions process of appeal. A comprehensive review of all eligibility requirements, all aspects of dealing with Election statement changes and all things related to the Notice of Election will be included. AFTER THIS WEBINAR YOU’LL BE ABLE TO: • Review all Eligibility Requirements for admitting patients to Hospice • Define Benefit Periods • Updates to the Content of the Election Statement • Billing Details of Notice of Election • Dealing with Claim issues regarding Late Notice of Election • Update to Late Notice of Election Exceptions & Corrections October 21 - Hospice Billing Series: Part 2 – Details of Medicare Claims Processing Accurate monthly claims and understanding of the navigation surrounding the edits and errors is key to getting paid correctly and timely. This session will take billers through the step by step process of monthly Hospice billing and providing examples of how hospices have successfully dealt with recent changes. The most recent of reimbursement changes will be addressed including proposed changes to the base rates for Hospice levels of care through rebasing. This session will also provide a step by step through the content of the final claims and frequent billing issues. Physician billing will be covered in this session. AFTER THIS WEBINAR YOU’LL BE ABLE TO: • Define distinct levels of care and specifics of billing them • Details of monthly claim content • Outline typical billing issues and how to handle them • Detail newest rate changes due to rebasing/2021 Rates • Outline changes in the Wage Index structure • Define standards for physician billing on hospice claims. October 28 - Hospice Billing Series: Part 3 Face-to-Face, Hospice Cap, HIS & Top 5 Denial Reasons All of the nuts and bolts that hold Hospice reimbursement together will be covered in this webinar. Face-to-Face requirements and the HIS reporting requirement are a couple among many of the daily reimbursement related challenges. A review of specific HIS reporting requirements will be addressed to expand your agency's knowledge of Hospice reimbursement related components. Lastly, the top 5 denials reasons for denied claims under medical review will take agencies a step beyond the basics of just getting a claim processed for payment. AFTER THIS WEBINAR YOU’LL BE ABLE TO: • Review Hospice Face to Face Requirements • Recap the Self Reporting of Hospice Aggregate Cap • List Palliative Care Specific Codes for Billing Part B • Outline HIS Reporting Requirements • Detail Top 5 Medical Review Denial Reasons & How to Avoid Presenter: Melinda Gaboury, is co-founder and Chief Executive Officer of Healthcare Provider Solutions, Inc., an organization out of Nashville, TN that provides financial, reimbursement, clinical and operation services to the home health and hospice industries.  With more than 27 years of experience in Medicare Home Health, she is a presenter at both the state and national levels, and is interviewed frequently for national home health publications.  Ms. Gaboury is also the author of "Home Health Guide to OASIS D: A Reference for Field Staff."  Ms. Gaboury has no conflict of interest in regard to this program

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  • THIS WILL BE A VIRTUAL EDUCATION EVENT Description: The purpose of this virtual workshop is to give attendees an up-to-date overview of the operations of a Medicare/Medicaid certified hospice.  The participants will gain knowledge of the Conditions of Participation (CoP), describe Medicare certification and licensure, define hospice core services, levels of care, plans of care, notice of election, revocation, discharge and transfer.  A brief overview of the billing process for Medicare and Medicaid and the basic elements of cost reporting will also be provided. Who Should Attend: This program is developed for newly certified hospice staff including administration and clinical; new staff of an existing hospice; social workers, and private duty hospice administrators considering becoming Medicare certified. This virtual workshop will address:

    • Coverage and services available under the Hospice Medicare Benefit
    • Conditions of Participation specific to the Hospice Medicare Benefit
    • Coordination of care requirements for the hospice patient in a nursing facility
    • Medicare’s billing and reimbursement processes for hospice care
    • Hospice program differences between Medicare and Ohio Medicaid
    • Strategies for managing hospice patients under a PASSPORT/Waiver service plan
    • Operational processes important to hospice care and program management
    • Available resources related to hospice care delivery and program management
    Presenter: Kathy Royer, RN, MBA, DMin, CHPN, CHPCA is the hospice regulatory director for the Ohio Council for Home Care and Hospice.  She is a registered nurse with more than 23 years of experience in hospice.  She served as a corporate division director with a demonstrated history of improvement in quality scores.  She has expertise in hospice and hospital environments.  Kathy is skilled in corporate leadership development, operations management, regulatory consultation, coaching, Palliative Care, team building, and as a cultural change agent. Registration Fee: OCHCH Members - $149 (Per Person)   NEW!!     $249 - Unlimited Attendee Pass (One price for unlimited staff to attend) Non-Members - $249 (Per Person) NEW!!     $349 - Unlimited Attendee Pass (One price for unlimited staff to attend) Printable Registration Flyer - CLICK HERE!!

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  • This a Virtual Workshop Overview: During this workshop, to refresh the student with material aligning with the test plan in preparation for taking the Certified Hospice & Palliative Nursing Assistant (CHPNA) certification examination given by the Hospice & Palliative Credentialing Center (HPCC). Program Objectives:

    1. Overview of Hospice and Palliative Care Nursing Assistant Practice
    2. Review Nursing Assistant role in pain and symptom management
    3. Discuss ethical issues in Hospice and Palliative care
    4. Discuss the importance of communication with patients, families and care providers
    5. Review cultural considerations
    6. Discuss spiritual care, loss and bereavement in hospice care
    7. Review care at the end of life
    8. Discuss Nursing Assistant personal and professional development
    Presenter: Kathy Royer - OCHCH

    Learn More
  • THIS IS A VIRTUAL EDUCATION EVENT Program Description:  OCHCH is excited to introduce this new workshop, designed for hospice professionals that are stepping into a management role.  This program provides hospice-specific information that helps leaders and managers develop the skills they need to meet the challenges and changes they face in managing successful hospice programs, systems and caregivers.  Our introductory Hospice 101 course provides the basics of hospice care operations.  Hospice 201 is the next level.  This workshop offers suggestions for identifying the clinical issues that impact financial performance, and offers guidance on managing the relationship between the quality, clinical and the financial areas of the agency.  We’ll also provide strategies to refine and improve billing performance, reduce denials, improve profitability, and increase quality outcomes. Program Objectives:

    • Describe the role of hospice care in population care management.
    • Identify current state/ federal legislation and regulations affecting hospice care programs.
    • Describe methods to enhance the financial performance of a hospice program.
    • Describe how to manage staff performance to enhance agency reputation.
    • Identify the challenges and strategies to improve billing performance and reimbursement issues.
    • Identify opportunities and challenges posed by new quality reporting requirements for hospice programs.
    • Discuss current issues impacting the provision of hospice care in a long term care facility.
    • Identify useful operations management techniques through the use of dashboards and benchmarking.
    Presenter: Kathy Royer, RN, MBA, DMin, CHPN, CHPCA is the hospice regulatory director for the Ohio Council for Home Care and Hospice.  She is a registered nurse with more than 23 years of experience in hospice.  She served as a corporate division director with a demonstrated history of improvement in quality scores.  She has expertise in hospice and hospital environments.  Kathy is skilled in corporate leadership development, operations management, regulatory consultation, coaching, Palliative Care, team building, and as a cultural change agent.

    Learn More

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