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January 2025 brings even more changes with the updates to the Value-Based Purchasing Expansion. Agencies must develop and implement plans to continue to succeed under the current reimbursement model, PDGM. This workshop will discuss key areas, strategies and processes in assisting an agency with continued success in 2025. This workshop will have a focus on best episode management and process improvement practices including the referral, intake and scheduling processes, timely documentation, physician and patient communication strategies, all of which are required to more tightly manage care within the 30-day payment period. The data utilized in determining impact of medical review and top denials resulting from medical review will be detailed. Lastly, the workshop will include a session on being successful with Medicare Advantage contracting and implementation. January 14, 2025 8:30 – 10:00 Session 1 – Key Revenue Cycle Elements Related to PDGM Summarize key Revenue Cycle Operations affected by PDGM - Discuss necessary modifications to the intake and referral process under PDGM
- Outline the Impact on case-mix weight with coding and OASIS
- Present data to assist in determining financial impacts of PDGM on an agency
- Explain scheduling strategies to prevent penalties for Late NOAs
10:00 – 10:30 Break 10:30 – 12:00 Session 2 – Home Health Medical Review & Avoiding Denials Review the Specifics of Data Resulting in Medical Review - Detail the impact of claims data on medical review
- Discuss top 5 reasons for Medical Review Denials
- Outline best practices for avoiding medical review denials
January 22, 2025 8:30 – 10:00 Session 1 – Medicare Advantage Success 2025 & Forward Review the details of Medicare Advantage Success - Provide Detail statistics on where Medicare Advantage is active
- Planning for strategic and longer-term sustainability in partnering with MA Plans
- Evaluate steps in contracting with Medicare Advantage Plans
10:00 – 10:30 Break 10:30 – 12:00 Session 2 – Home Health Value Based Purchasing Model Detail 2025 Home Health Value Based Purchasing Expansion & Reports - Outline HHVBP Model for 2025
- Detail Impact of payment adjustments from 2023 data
- Review Interim Performance Reports details
Presenter: Melinda A. Gaboury, COS-C, CEO - Healthcare Provider Solutions Continuing Education: This activity is eligible for 6 nurse contact hours.
The Association for Home & Hospice Care of NC is approved as a provider of nursing continuing professional development by the North Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. Recording: Recording will be available for 30 days after the event. Confirmation: Prior to the webinar, you will receive a Zoom confirmation email which will include a join link to access the webinar, a dial-in number and an access code to listen in via telephone. You will also be sent any pertinent handouts if available. Cancellation and Substitution Policy: Submit cancellation requests by email to Cynthia Holloway at cholloway@thinkhomecare.org. $25 or 25% cancellation fee, whichever is more, between 7 days and 24 hours of event. No refund for same day cancellation or no-show. Refund assumes registration paid in advance. Unpaid registrations remain payable, adjusted only for approved cancellation as above.
Cost: Member $189.00 | Non-Member $289.00
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