Program Overview:
The Patient-Driven Groupings Model (PDGM) represents the most significant change in the Medicare home health program in the 21st Century. It radically changes the Medicare payment methodology, including the unit of payment, the case mix adjuster, Low Utilization Payment Adjustment standards, and payment for Non-Routine Medical Supplies.
Beginning in January 2020, the National Association for Home Care & Hospice (NAHC), in partnership with the NAHC Forum of State Associations, the Home Care & Hospice Financial Managers Association, and the Home Care Technology Association of America, will present two significant educational campaigns designed to enable home health agencies to achieve “high performer” status through continuous  operational improvements in financial, clinical, business analytics, and administrative operations as PDGM unfolds.
The first educational campaign will be a series of six free webinars, beginning in late January, that address a variety of PDGM-essential topics, combined with an open forum where participants share and gain insights with HHFMA experts about what is working and not working in the early weeks of PDGM.
The second will feature a series of 12 one-day intensive Summits across the country, from March 30 through April 14. These Summits will focus on PDGM-related continuous performance improvement in financial, clinical, data analytics, and administrative operations. These are not “run-of-the-mill” PDGM programs. Instead, these programs are based on real-time, nationwide experiences and data that provide the nationally-renowned expert faculty with the deepest understanding about how to achieve success in PDGM.
Comparable in format to the intensely valuable 2019 Summits, the 2020 PDGM National Summits will be your key to thriving under PDGM. The major difference is that we are now in PDGM and will have the experiences and data to fully discern the ingredients to success.
Faculty for these one-day programs once again will be comprised of leading national experts from top home health consulting firms who will provide you with the tools and knowledge to:
  • Gain a better understanding of what it takes to be a winner in PDGM;
  • Identify key steps that are proving successful in managing services under PDGM;
  • Recognize the actions that create unnecessary risks for your HHA; and
  • Determine the early clinical and financial benchmarks that distinguish the successful HHA from others.
Attending one of these summits will fully prepare you to undertake any needed course corrections in your PDGM management, along with reinforcing the actions that you have already taken to ensure a positive outcome throughout 2020 and beyond.
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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.
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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.
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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
The main components and requirements of HCBS waiver 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.
Lunch and continental breakfast are included in the registration fee.
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Description: 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
Continental breakfast and lunch are included in the registration fee. Registration opens at 8:30am.
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OCHCH and Nationwide Children's Hospital are excited to offer the 2020 Pediatric Home Health Care Conference: Successful Integration of New Home Health Documentation Requirements. Guest Presenter Allison Chrestensen MPH, OTR/L, Principal, Tandem Healthcare Solutions is providing a pre-conference workshop June 4, 1-3 p.m. and the keynote June 5 on cultivating joy in your work.
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This program has been developed to assist experienced home health managers to enhance the operational performance of their home health agency.  Our introductory Home Care 101 course provides the basics of home care operations.  Home Care 201 is the next level.  Improving clinical performance and financial management in a Medicare skilled home health agency is the focus of Home Care 201.  Essential to improving agency operations is identifying clinical issues that impact performance.  This program will provide strategies to refine and improve billing performance as well as explain the important relationship between clinical and financial areas of the agency.  This focus is important as the future viability of home care operations will be determined by the agency’s ability to remain current with changing regulations, the ongoing focus on patient outcomes, declining reimbursement, and closer scrutiny by auditors that can lead to denials.  Attendees are strongly encouraged to bring to the program a written description of at least one problem that they need to resolve within their agency; the goal is to best serve the individual's purpose for attending the class. Program Objectives:
  • Recognize clinical issues impacting performance management
  • Discuss how to manage the relationship between clinical and financial areas of the agency to optimize performance in each area
  • Identify the challenges and strategies to improve billing performance and reimbursement issues
  • Describe how to enhance financial performance through sound financial decisions in order to ensure the future of the agency
  • Identify useful data management techniques through the use of dashboards and benchmarking
  • Discuss current audit activities and strategies to minimize denials
  • Discuss additional current issues impacting home health agency operations
Who Should Attend:  This workshop is best suited to individuals who have a minimum of 1 year experience in home health management and operation of an established Medicare certified agency. Lunch and continental breakfast are included in the registration fee.
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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
Continental breakfast and lunch are included in the registration fee. Registration opens at 8:30am.
Read More
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
Lunch and continental breakfast are included in the registration fee. Registration opens at 8:30am
Read More
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
The main components and requirements of HCBS waiver 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.
Lunch and continental breakfast are included in the registration fee.
Read More
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
Lunch and continental breakfast are included in the registration fee. Registration opens at 8:30am
Read More
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
Continental breakfast and lunch are included in the registration fee. Registration opens at 8:30am.
Read More
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.
Lunch and continental breakfast are included in the registration fee.
Read More
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
Lunch and continental breakfast are included in the registration fee. Registration opens at 8:30am
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