Speaker(s): Victoria Barron, MBA, BSN, RN, COS-C
About the Speaker(s)
With more than 37 years of nursing and healthcare experience, the majority of Victoria’s career has been in the home services arena including home health, hospice, home care, and home infusion where she has served in various roles. In home health and hospice, Victoria has served as agency administrator, interim administrator, clinical director, surveyor, mock surveyor, QAPI team member and consultant. Victoria has led and participated in the start-up of hospice, home care and home infusion agencies and has successfully led teams through the initial Certification and Accreditation process as well as renewals of existing Certification/Accreditations.
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About the Event
HOPE Assessment
November 13, 2024
8:15am – 9:15am CST
Speaker: Victoria Barron, MBA, BSN, RN, COS-C
The Hospice Outcomes & Patient Evaluation (HOPE) tool was confirmed with the 2025 Hospice Final Rule adopting the HOPE Tool. It is imperative that hospices be prepared to accurately capture the patient specific data to accurately complete the HOPE Tool. This tool will replace the current HIS and will be completed at different timepoints. This session will address all data points required with the HOPE Tool, the HOPE assessment timepoints, new outcome measures that will be calculated from the data, the impact on the Hospice Quality Report Program compliance and the detailed timeline for implementation.
Objectives:
- Detail the difference between the HIS and the HOPE
- Outline the impact of HQRP compliance with the HOPE
- Define the specific items included in the HOPE assessment
- Detail the time points for completing HOPE
- Define the new outcome measures resulting specifically from HOPE data.
Hospice Audits and Reviews: Be Prepared
November 13, 2024
9:30am – 10:30am CST
Speaker: Victoria Barron, MBA, BSN, RN, COS-C
Being prepared for a hospice medical review audit regardless of type such as TPE, PPEO, SMRC, UPIC or RAC will ensure timely submission of documents and protect your agency’s bottom line. From pre-payment denials to post-payment recoupment of payments, this session will cover all types of medical review audits and provide documentation “musts”, tips and guidance to “audit proof” your claims.
Objectives:
- Discuss the types of medical review audits.
- Implement a pre-claim audit process to ensure claims are paid or retained under medical review.
- Detail the Medicare appeals process and timelines.
- Understand documentation requirements to meet the Medicare conditions of coverage.