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HCAF Annual Conference & Trade Show

Speaker(s): Melinda A. Gaboury, CEO

Category: Speaking EngagementConference

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HCAF Annual Conference & Trade Show Jul 29 - Aug 01, 2019
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About the Event

HomeCareCon, the Home Care Association of Florida’s (HCAF) Annual Conference & Trade Show is the largest gathering of Florida’s home care industry. Save the date to join the Florida home care industry’s finest this summer in Orlando as we celebrate 30 years as the voice for home care in Florida.

Speaker: Melinda A. Gaboury, CEO
Monday, July 29, 2019 | 9:00 AM – 3:30 PM | Patient-Driven Groupings Model: 5 Months To Go!

The Patient-Driven Groupings Model (PDGM) will go into effect January 1, 2020. This is the most massive change to the home care industry reimbursement structure since the introduction of the current Prospective Payment System (PPS) in October 2000. The new payment model dramatically impacts agency operations, processes, and performance. Agencies must develop and implement plans to successfully transition to PDGM. This workshop will discuss key areas, strategies, and processes in preparing an agency for PDGM. This workshop will have a focus on best episode management and process improvement practices including the referral, intake and scheduling processes, timely documentation, and physician and patient communication strategies, all of which are required to more tightly manage care within the shorter 30-day payment period. The change to a 30-day payment model will also bring significant back office changes specific to the claims processing and collections, which will be one emphasis of this workshop. A strong clinical episode management program is critical to ensure sustained, efficient, cost-effective, and uncompromised quality care delivery under the PDGM program! This workshop will bring emphasis to the fact that every discipline is valued the same and extra therapy visits does not equal higher payment. Lastly, this workshop will review
the full blown emphasis of ICD-10 coding under PDGM and how agencies will have to monitor to ensure the specificity of coding for their patient care plans.

Tuesday, July 30, 2019 | 2:15 PM – 3:35 PM | Home Health Targeted Probe & Educate

Targeted Probe & Educate (TPE) began in 2017 and has been fully implemented across the country. This workshop will allow home health staff members to obtain information in order to evaluate where their agency would stands if TPE comes to their agency today. This medical review probe was implemented to identify agencies that are being inappropriately reimbursed by Medicare. TPE results from the Medicare MACs will be shared, which includes some very unnerving statistics. The interworkings of this program and how an agency can survive this level of review will be addressed. Directors, clinicians and quality review staff will not want to miss this session.

Wednesday, July 31, 2019 | 1:00 PM – 2:20 PM | PDGM – Revenue Cycle Management Changes!

The most significant change in Homecare Reimbursement in 20 years will go into effect January 2020. The Patient Driven Groupings Model – PDGM is complicated, confusing and overwhelming. CMS has provided some data on the revenue impacts and new PDGM components, but there is more to be considered. Revenue Cycle, from beginning to end, will require changes to adapt. Preparing now is essential in being prepared for the PDGM onslaught.

Thursday, August 1, 2019 | 8:00 AM – 9:20 AM | Documentation Absolutes for Review Choice Demonstration

The Review Choice Demonstration (RCD) has officially been approved and implementation is imminent in the first of 5 states to be affected. RCD is basically a repurposed Pre-Claim Review and in fact, if indeed the information was affirmed, Pre-Claim Review is one of three options that agencies get to choose from. This session will detail and review the current status of RCD, share experiences from pre-claim review and discuss some of the prevalent processes within your agency that may need to be tweaked.

Make sure to stop by booth 707 and see Brian!