Page 6 - 2019AnnualConventionBrochure

The Future of Medicare Certified Home Health

A5 - Documentation and Care Planning: The Integration of C6 - The 11 Home Health Regulations You Absolutely
Quality Directed Toward Improved Outcomes Need to Know
Tina Marrelli, MSN, MA, RN, FAAN Joe Osentoski, Reimbursement Recovery/Appeals
Kim Corral, RN, BSN, MA Ed Director
Marrelli and Associates, Inc. Quality in Real Time (QIRT)
Monday, April 29 | 10:30-12:00pm Monday, April 29 | 3:30-4:30pm
Why is effective care planning so important and sometimes elusive While leadership and management deal with results of CMS’
in practice? Care planning is the process and driver all directed Medicare Administrative Contractor Targeted Probe and Educate
toward meeting patient goals. What exactly should an effective (TPE), ZPIC/UPIC audits, and RAC reviews, the battle for Medicare
care plan look like? This foundational presentation lays the coverage is won or lost at the clinician level. “If it wasn’t charted,
groundwork for assessing and improving care plans. With examples it wasn’t done” is the old adage, but “If it was charted wrong, it
and patient case scenarios the presenters will try and make care won’t be paid” is the new version in the Medical Review world
planning fun, instructive and interactive. Whether experienced or of home health. This session combines 11 key Medicare rules
new to care planning, care planning is the structure from which and regulations your staff need to know, need to document, and
all care is planned, provided, evaluated and documented. Join us need to follow so that any Medical Review does not take back
for everything you wanted to know about effective and results- the visits and cause financial hardships for your agency.
oriented care planning.

B4 - How Operations are Driven by Top Performing Home D6 - OASIS-D: Ensuring a Successful Transition
Health Agencies Karen Tibbs, RN, MS, HCS-D, COS-C
Mark P. Sharp, CPA, Partner, BKD Quality Manager, OASIS and Coding, McBee
Raymond I. Belles, Managing Consultant, BKD Tuesday, April 30 | 10:45-12:15pm
Monday, April 29 | 1:45-3:15pm The information collected in OASIS-D has the potential to impact
Home health agencies have experienced some challenging years payment reform and quality outcome reporting. A complete
and 2019 and 2020 promise more of the same. Reimbursement understanding of the items will be vital. This session details
rates have been squeezed, yet costs and regulatory requirements the new GG0100 Prior Functioning, GG0110 Prior Device Use,
continue to rise. Agencies are challenged to maintain quality GG0130 Self Care and GG0170 Mobility. Learn what activities
while attempting to become more efficient and productive. In this and equipment will be captured and scoring guidance including
interactive session, the presenters will review findings from the when to select the “not attempted” codes and when clinicians
BKD and SHP’s annual benchmark analyses and the financial and must use clinical judgment. An in-depth comparison of the new
operational indicators of the top performing agencies in quality and GG items with the current ADl/IADL items will be discussed.
financial performance. Findings from survey results will be shared This session will explore best practice strategies for accurate
on the operational approaches and strategies these top performing assessment as well as ensuring the correlation of OASIS
agencies use to achieve optimal results in a balanced manner. responses and comprehensive documentation.

C1 - Patients Over Paperwork: Moving Forward F6 - Home Health Clinical Documentation Improvement
Alisa Mason, RN, BSN, Director of Resource Utilization Program
Advanced Home Care Laura Page-Greifinger, CEO/President
Monday, April 29 | 3:30-4:30pm Quality in Real Time (QIRT)
This is a presentation geared to help agencies work towards Tuesday, April 30 | 3:15-4:15pm
decreasing the burden of documentation using evaluation, Documentation within the home care industry is problematic
education, and technology. Many agencies face nursing shortages, at best and causes a lot of issues with agencies. Poor practices
largely related to the burden of documentation. The truth is there need to be eradicated and replaced with clinical documentation
are many reasons for this and not all are due to regulations or that meets all requirements and does not need to be a problem
requirements. Learn strategies used (and lessons learned) to help for staff. Learn how to implement a Clinical Documentation
your agency combat the burden of documentation while working Improvement Program in your agency to ensure staff document
towards improving staff satisfaction. what is necessary and correct to provide the story of the patient -
a beginning, a middle, and an end.

C5 - Streamline Documentation & Technology Processes for G1 - QA Reviews: What’s the Best Option?
CoP Success Melissa Hernandez, RN, HCS-D, HCS-O
Craig Mandeville, CEO ACHC Certified Consultant, Home Health Solutions
Deb Buenaflor, MBA, Director, Product Management Tuesday, April 30 | 4:30-5:30pm
Monday, April 29 | 3:30-4:30pm The home health industry has experienced a wave of changes
The new home health Conditions of Participation (CoPs) are in the last few years. With these changes comes the need for
intended to drive quality in care and eliminate unnecessary excellent Quality Assurance (QA) reviews. We will take a look at
procedural requirements for home health agencies. However, in the different options available to complete your reviews. We will
order to realize the benefits these revised CoPs were designed to compare the pros and cons of In-House Reviewers, Third Party
deliver, home health and hospice organizations need to optimize Outsourcing, and Electronic Scrubbers. We will discuss the cost vs.
documentation and technology processes. Presenters will share return on investment, along with risk factors related to each. This
industry best practices in adhering to these new requirements with will be achieved with a powerpoint presentation and handouts
technology today and in the future. comparing each type of reviewer.

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