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.Read 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:Read More
- 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.Read More
OCHCH is happy to partner with the Kansas Home Care & Hospice Association to bring you this webinar. Overview: Objectives:Read More
- Review the 2020 hospice quality measures and the components of quality improvement to ensure compliance with hospice QAPI requirements.
- Discuss data sources for target measure selection, action plan development, and best practices for quality care using examples of hospice QAPI projects.
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:Read More
- 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.