Advanced Home Health (Medicare)
Boot Camp Training Agenda

Day One
8:00 am to 8:30 am
  • Registration
   
8:30 am to 9:30 am
  • Introduction
  • Boot Camp Rules
  • Manual and handouts overview
 
9:30 am to 12:30 pm Welcome to Quality Outcomes Boot Camp
 
Section 1
Conditions of Participation changes
  • CMS
    • Standards removed
    • New standards
    • Compliance
 
Section 2
Re-accreditation process
Jillian Piccicuto, Accreditation Commssion for Health Care (ACHC)
  • Survey Process
    • Site visits by ACHC surveyor
    • Dates for re-accreditation
    • Service additions
  • Common deficiencies
  • On-going support
    • Prep Checklists
    • Webinars
 
12:30 pm to 1:00 pm Lunch
   
1:00 pm to 5:00 pm Section 3
Home Health Care Compare
  • CMS websites
  • OASIS-C2 indicators
  • OASIS OBQI
    • Example
  • Home Health Star Ratings
  • HHCAHPS
    • Exemption / Participation periods
 
Section 4
Personnel Regulation Compliance
  • Supervisory visits
  • Evaluations
  • Competency evaluations
  • In-services
  • Health requirements
    • TB screening
    • TB Risk Assessment
  • Background screenings
  • E-verification
    • State requirements
 
Section 5
Committees
  • Types
  • Specifics
 
Section 6
CMS Value Based Purchasing Model (HHVBP)
  • Specifics
  • Compliance
  • Effects on Agency
 
Day Two
 
8:00 am to 12:30 pm Section 7
What I learned day 1 of Boot Camp
 
Section 8
Quality Outcome Measures
  • Quarterly chart reviews
  • Quarterly QAPI meetings
    • Data collection
    • Policy Review for Patient Care
    • Trends
    • Action Plans
    • Quality Indicators
    • Graphing results
 
Section 9
QAPI Breakout
  • Group Exercise
 
12:30 pm to 1:00 pm Lunch
 
1:00 pm to 5:00 pm Section 10
Additional Documentation Requests (ADR)
  • Details
  • Responding to the ADR
  • Face to Face compliance
  • Outcomes
  • ZPIC reviews
 
Section 11
Business Development
  • Planning
    • Business Plan
    • Strategic Plan
      • SWOT
    • Marketing Plan
 
Section 12
Business Opportunities
  • Med Waivers
  • Insurance Credentialing
  • Infusion Therapy Program
  • Wound Care Program
 
Day Three
 
8:30 am to 12:30 pm Section 13
What I learned day 2 of Boot Camp
 
Section 14
Coding for Correct Payment and Compliance
Nate Taylor, MBA, President
Home Health Advantage, Inc
Gina Sullivan, BSN, RN, HCS-D, COS-C, Review Team Manager
Home Health Advantage, Inc
Are we setting coding up for success?
  • The impact of Poor Coding
  • The root causes
  • How to fix it
    • Intake best practices
    • Strong clinical summary
 
Section 15
Billing Issues-Lynn Labarta
Medicare
  • Medicare PPS Reimbursement
  • Eligibility verifcation
  • PECOS
  • Episode Timing
  • OASIS transmittals
  • OASIS Denials
  • Visit G-codes
  • Claim Exceptions
  • Therapy
  • NRS
  • Billing Process
  • Remittances
  • Medicare claim rejections
 
12:30 pm to 1:00 pm Lunch
 
1:00 am to 5:00 pm Section 16
Billing Issues-Lynn Labarta
Commercial and Medicare Advantage Insurances
  • Eligibility
  • Understanding Commercial Insurance types
  • Medicare Advantage Plans
  • Commercial Insurances
  • Reimbursement
  • Billing process
  • Commercial claim rejections
 
Section 17
Alora Presentation - Colleen Jones
 
Section 18
Accounting Initiatives-Doug Walters
  • Tax Liabilities
  • Medicare Cost Reports
  • Annual Budgets
  • Capital Expenditure Budgets
  • Overtime
  • External Review
 
Final Questions and answers