Whether you are a brand new agency or a seasoned one, this class is designed to eliminate fear, stress, and deficiencies during the survey process. This seminar will provide you with all the necessary tools to create a constant state of readiness at your agency. We will discuss the ultimate step-by-step approach to navigating the Joint Commission Standards, CMS Guidelines and Deemed Status survey process. You will learn how to develop a survey preparation binder, which will provide you with all the information needed to present to your surveyor upon arrival, setting the tone for a stress-free and a successful survey experience. Through the detailed approach, you will be able to identify potential deficiencies prior to the surveyor finding them, develop a plan of corrections, and bring your agency up to compliance prior to your survey. You will be presented with proven strategies and examples used during the most recent surveys as well as new survey protocols taking effect January 1, 2017.

This course to highlights introduction to the new OASIS E questions which are effective January 1, 2023. CMS has released new info on the latest questions that will affect your bottom line under PDGM. Medicare will implement Home Health Value-Based Purchasing also effective January 1, 2023 with 2019 currently set as the base year form Quality Improvements. Agencies will have their payments increase or decrease as much as 5% in 2025 based on quality improvement performance when compared to home health agencies nationally. Learn the keys to success under PDGM and understanding these important new changes for home care.

This course is designed to bring you up to date and offer practical knowledge needed to adapt to changing industry demands. Come away with knowledge of how to keep it simple and getting it right THE FIRST TIME.

Documentation continues to be the number one risk area in home health operations regarding retaining reimbursements from Federal, State and Commercial Insurance payers and in determining STAR Ratings.

Being ahead of the crowd and understanding the role YOUR documentation plays is even more critical futuristically.  Defensible Home Care documentation is the key to survival with Targeted Probe and Educate (TPE) audits or any ADR’s, accurate functional scoring, star ratings and ultimate PDGM success. Learn the importance of the comprehensive assessment to support the POC and OASIS responses and be prepared for survey by adherence to the CoP’s. Learn practical steps to improved documentation!

Topics Include:

• Understanding PDGM for clinical staff
• OASIS D1 – Get the functional RIGHT!
• Upcoming OASIS changes
• Chapter 7 – Home Health Medicare Benefit Policy Manual-Keys to support homebound and medical necessity
• How to be prepared for Medical Review (TPE, RCD, UPIC, etc.)
• STAR Ratings – What they are all about

This seminar offers education and strategy to provide agency owners, administrators, business managers and billing staffs with practical information to equip your agency to collect and retain reimbursements due from all payer sources. The continuing shift in the industry to tie payments to quality services hits home in 2023 with the nationwide implementation of Home Health Value Based Purchasing. National Medicare enrollment continues to move toward enrollees choosing Medicare Advantage Commercial Insurers while the Medicare Fee- For Service enrollment continues to diminish as a percentage of total. Our experienced industry experts will provide valuable practical insight that will be beneficial and enlightening to newly certified or long-standing home health provider administration and staff members.

Topics include:

• Latest Home Health Regulatory Updates
• Home Health Billing Specific Updates – Medicare
• Home Health Billing Recommendations for Medicare Advantage / Commercial Payers
• Part B Billing Opportunities relative to home health agencies
• Navigating Medicare Secondary Payer Billing
• CMS Medical Review Updates

PDGM Survival Guide
The seminar will cover the 2024 HHA Final Rule published in November 2023 for billing periods ending January 1, 2024. CMS has announced a 0.4% Base rate increase and a 0.4% outlier increase. Medicare adjusted all 432 PDGM case-mix rates, impacting your medicare reimbursement in 2024.

Medicare Advantage Plans.
More than half of all Medicare beneficiaries are covered by an Advantage Plan. The seminar will show all HHAs how to get properly reimbursed and get patients back on traditional Medicare. The class will also identify a surefire way to get more reimbursement from Advantage Plans for Therapy Visits.

Flu Shot Billing

HHA may provide Flu Shots to Medicare and non-medicare patients. The agency must bill the MAC on a UB-04 and will receive 100% reimbursement from Medicare.

Outpatient Therapy 80 Part B Billing

HHA may provide Outpatient Therapy without obtaining a new license or certification. You will learn the reimbursement rules and even be reimbursed for telehealth visits.

Earned Retention Tax Credit (ERTC)

Providers can receive this credit for 2020 and 2021 payroll tax credits. Even though the IRS has put a pause on processing the claims, it is still accepting applications. Tax Professionals have told many providers they were ineligible for this credit but eligible under an alternative Government Shutdown mandate.