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The purpose of this introductory program is to give attendees an up-to-date overview of the operations of a Medicare certified home health agency. The participants will gain knowledge of the Conditions of Participation (CoPs), Medicare Manuals (defines PPS billing requirements, plan of care completion, and skilled, intermittent, homebound, reasonable and necessary care), an overview of survey preparation and process, and the role of clinicians in driving financial results. Individuals will gain an understanding of the role of OASIS and adverse events in agency operations. The Ohio Home Care Program (Medicaid) and PASSPORT will also be discussed. This program offers continuing education credits to RNs, LPNs. This program will address:
- Informational links and resources of federal and state governments.
- CoPs and the requirements for survey.
- OASIS, OBQI/OBQM reports used by an agency.
- Fundamentals of HIPPA (Code Sets, Privacy, Security)
- Guidelines for home health eligibility - skilled care/homebound
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The purpose of this 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 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
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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.
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The purpose of this introductory program is to give attendees an up-to-date overview of the operations of a Medicare certified home health agency. The participants will gain knowledge of the Conditions of Participation (CoPs), Medicare Manuals (defines PPS billing requirements, plan of care completion, and skilled, intermittent, homebound, reasonable and necessary care), an overview of survey preparation and process, and the role of clinicians in driving financial results. Individuals will gain an understanding of the role of OASIS and adverse events in agency operations. The Ohio Home Care Program (Medicaid) and PASSPORT will also be discussed. This program offers continuing education credits to RNs, LPNs. This program will address:
- Informational links and resources of federal and state governments.
- CoPs and the requirements for survey.
- OASIS, OBQI/OBQM reports used by an agency.
- Fundamentals of HIPPA (Code Sets, Privacy, Security)
- Guidelines for home health eligibility - skilled care/homebound
