Wednesday, December 9, 2020  |  11:00am-12:30pm

A1: Targeted Probe and Educate Hospice Update & PEPPER Reports
Melinda Gaboury, CEO and Co-Founder, Healthcare Provider Solutions


This session will take agencies through the winding road of Medicare scrutiny. While billing the Medicare benefit and getting paid relatively easily, there is always a risk of things being reviewed at some point and what you can do to avoid denials. Participants will be able to define Targeted Probe & Educate (TPE) and outline the structure of how to respond to any level of medical review that may occur. This session will also discuss PEPPER reports and other data analysis that agencies will need to review to ensure that their risk from medical review is limited. Do not be caught in the comfortable position of believing that everything is okay. Attendees will take away information that will assist in assuring that your hospice truly is accurately documenting.

For: Hospice

A2: An Introduction to Coaching Supervision
Kathie Smith, RN, BSN, Vice President of Home Care and State Relations, SCHCHA

Participants will be introduced to a model of supervision that is designed to hold workers accountable for high performance, improve communication skills between supervisors and workers, and provide supervisors skills to help staff develop problem-solving skills.

For: Home Care

A3: OASIS - A Global Look

Lisa McClammy, BSN, RN, COS-C, HCS-D, Senior Clinical Education Consultant, MAC Legacy

OASIS data affects a wide array of areas within your agency and can have a negative impact on your outcomes and reimbursement if not completed accurately. Outcomes and Assessment Information Set (OASIS) - A Global Look is a comprehensive examination of the OASIS including guidance and conventions, functional questions with examples, how the OASIS affects outcomes and reporting, and how it determines the functional impairment level for Patient-Driven Groupings Model (PDGM). This session will help you understand the OASIS and how important it is to capture accurate data to improve outcomes and ensure you are getting proper reimbursement.

For: Home Health

A4: Telehealth & Remote Patient Monitoring: Controlling a Pandemic

Doug Lang, Senior Director of Client Growth, Health Recovery Solutions; Bonnie C. Mello, RN, BSN, MSML, Director of Home Care Services, Roper St. Francis Healthcare

At the onset of the COVID-19 pandemic, Roper St. Francis Home Health quickly responded to the growing needs of their community, launching a comprehensive Telehealth and RPM Program. Through the Telehealth and RPM program, Roper St. Francis identified and monitored COVID patients, provided educational resources to COVID patients and caregivers, and reduced strain on critical care and hospital resources. In this presentation, the team at Roper St. Francis will outline the essential role of remote patient monitoring in telehealth strategy and how to leverage mobile health solutions to service broad patient populations with individualized care. In addition, this presentation will discuss overcoming barriers, finding your telehealth champion and enhancing clinician buy-in, and the next steps for expansion.

For: Home Health

Wednesday, December 9, 2020  |  1:30pm-3:00pm

B1: Hospice Eligibility Documentation

Melinda Gaboury, CEO and Co-Founder, Healthcare Provider Solutions

Accurate hospice eligibility documentation is critical to fulfilling the CoPs and payment requirements. The lack of supporting documentation for a terminal prognosis is the number one reason for denial. Reviewers often look for a significant decline in patient condition. Although this is not a requirement of hospice care, terminal prognosis is. Theis session will help clinicians document the slightest changes in baseline measures. More importantly, you’ll learn how to capture in documentation the occurring changes that support terminal prognosis - even without a decline in baseline measures. Go beyond the LCDs and common tools for documenting eligibility by drilling down to the details and characteristics that differentiate terminal and chronic patients with the same diagnosis.

For: Hospice


B2: Proven Recruiting and Retention Strategies for the Home Care & Hospice Industry
Ryan Mattson, Director, Recruiting & Operations, Exact Recruiting, A Simione Talent Solution

Workforce challenges are the biggest hurdles that growing home care providers face today. As the fastest growing segment of the US economy in terms of employment growth (Bureau of Labor Statistics), competition for top talent is at an all-time high. Learn from Ryan Mattson, Director, Exact Recruiting, a Simione Talent Solution, about strategies to attract and retain top talent for long-term success.

For: All

B3: STAR Ratings and Quality Measures Make or Break Referrals in Discharge Planning

Dawn Cheek, RN, BSN, Director, Clinical Consulting, McBee

The future of healthcare is continually moving toward patient-centered care - it’s more important than ever for agencies to improve and maintain their STAR rating and other quality measures to be considered a top choice for patients and stand out among competitors. CMS Discharge Planning Requirements (CMS 3317-F) sets out to empower patients to be more involved in their discharge planning process when transitioning from an acute care setting into post-acute care. Condition of Participation 482.43 works to reduce hospital readmissions by aligning transitions of care and takes strides to improve interoperability efforts across the continuum of care. Acute care facilities are now required to provide data on each agencies’ quality measures so patients can make an informed decision on which agency will provide them with the highest quality care. This session will cover discharge planning and how quality measures impact referral source relationships. Best practices and improvement strategies for improving quality measures will also be covered.

For: Home Health

B4: Opioid Public Health Crisis - Risks and Legal Obligations of Hospice and Home Health Providers

Terri Harris, Partner, Fox Rothschild LLP

This session will cover the following topics: Background on opioid use and abuse among older adults; impact of recent federal legislation to curb opioid use and abuse; risk management challenges presented by opioid use and abuse among older adults; survey risks for hospice agencies related to opioid disposal; and strategies to deal with drug diversion.

For: All