Program Overview: The number of CMS hospice survey deficiencies are on the rise. Those hospices surveyed by the state survey agency as well as those surveyed by an accrediting organization will benefit from a review of the top five deficiencies and deeper look into the processes and procedures that support compliance with the most frequently cited tags.  The most frequently cited deficiencies have been similar to years past.  Why aren’t hospices able to master these requirements?  This webinar will explain the most common types of situations that result in these deficiencies how to avoid common pitfalls that result in a noncompliance citation. HIGHLIGHTS

• List the top 5 CMS hospice survey deficiencies
• Explain the common pitfalls and situations that cause a finding of non-compliance
• Discuss the practices that are at the root of the problem
• Provide suggestions for practice and process improvement

This webinar will help you understand and develop best practices around hiring and managing Home Health Aids in your agency. Presenter: Beth Foster, RN, BA, CPHQ, CEHCH is Director of Regulatory Affairs for the Ohio Council for Home Care and Hospice.  Her home care career began in 1989 as a visiting nurse, progressing into other positions including aide/intake coordinator, hospital system liaison, clinical care manager and director.  Previously she served as an Ohio Dept. of Health Surveyor for all provider types including Home Care & Hospice. Registration Fee: OCHCH Members - $40 per agency Non-Members - $85

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

OCHCH is excited to provide this introductory program to provide attendees an up-to-date overview of the state requirements for a Medicare/Medicaid and Department of Aging certified home health agency. Participants will gain knowledge of each of the Medicaid Programs’ Conditions of Participation (CoPs) and rules; the required coordination of services with or without case management; the role of Medicaid’s oversight contractor, and Medicaid managed care. Discussion will include the following Medicaid programs: State Plan Home Health and Private Duty Nursing Services, Ohio Home Care Program, PASSPORT Waiver; and Assisted Living Waiver. The main components and requirements of “basic” state plan Medicaid

• Improve coordination of “basic” state plan Medicaid services with Home and Community Based Services (HCBS) waivers
• “Basic” and “related” state plan Medicaid services included are – Home health (HH) services – Private duty nursing (PDN) services

• Improve coordination of HCBS waivers with “basic” state plan Medicaid services
• HCBS include: Ohio Home Care Waiver; PASSPORT Waiver, and Assisted Living Waiver
• Waiver alignment of the departments of Medicaid and Aging.

Overview WORKSHOP INFORMATION All updated with 2021 coding changes and up-to-date info about PDGM! 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.

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

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

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.

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