Medicare Sessions

Full Conference: Up To 14 clock hours for Admins/Alt!

Tuesday, August 30

12:30 pm - 2:30 pm
1a. Jurisdiction M HH and Hospice Hot Topics

Speaker: Charles Canaan, RN, Senior Provider Relations Consultant, Provider Outreach & Education, Palmetto GBA

Continuing Education: 2.0 clock hours for Admin/Alts. / Nursing Credits: 2.0 contact hours

Target Audience: 
Medicare

This session will discuss current trends and issues with Medicare Home Health and Hospice

  • Hospice utilization

    • Program for Evaluating Payment Patterns Electronic Report (PEPPER)

    • Average Length of Stay

    • Non-cancer Length of Stay

  • Discharge from the Medicare Hospice Benefit

  • Respite Care

  • Home Health Utilization Trends

    • Program for Evaluating Payment Patterns Electronic Report (PEPPER)

    • Periods with Low Visits

  • NOA/NOE and any billing issues surrounding those

12:30 pm - 2:30 pm
1b. Rethink Everything: How the toughest times are an opportunity to do make big changes

Speakers: Brett Brier, VP of Business Development, CubHub Systems and Cole Ballweg, President, CubHub Systems

Continuing Education:
 2.0 clock hours for Admin/Alts. /  Nursing Credits: 2.0 contact hours

Target Audience:
Medicare                Private Pay
Community Care    Hospice
Pediatric

The pandemic has taken some trends in the home care industry and brought them into full relief.  Successful leaders will be those willing to question everything and make the changes that in the past would have seemed too disruptive. Pay structures, staff ratios, office space, client and staff relationships: Everything is on the table. In this presentation we will explore areas that are ripe for disruption and offer ideas for big and small changes.

2:45 pm - 4:45 pm
2a. Jurisdiction M HH and Hospice: Getting it Right the First Time

Speakers:  Charles Canaan, RN, Senior Provider Relations Consultant, Provider Outreach & Education, Palmetto GBA

Continuing Education:
2.0 clock hours for Admin/Alts. /  Nursing Credits: 2.0 contact hours

Target Audience: 
Medicare

This session will discuss improper payment and denials and give tips on how to prevent them.

  • RCD

  • Hospice medical review denials

  • Documentation best strategies and most denied due to documentation

  • Comprehensive Error Rate Testing errors

2b. HHSC Power Hour—2 hour Information Packed Session You Don’t Want to Miss!

Speakers: Rosalind Nelson-Gamblin, Senior Policy Specialist, Long-Term Care Regulation, HHSC

Continuing Education:
Continuing Education: 2.0 clock hours for Admin/Alts. /  Nursing Credits: 2.0 contact hours

Target Audience:
Medicare                Private Pay
Community Care    Hospice
Pediatric

Review of Top Ten Violations for LHH and PAS and Preparing for Survey;

 This session will discuss the most frequently cited state licensing standards for home health and personal assistance services. The presentation will make a connection between the regulations and the need for documentation during a state licensing survey. The participant will be able to use the information to make self-determination of non-compliance.

Regulations for Supportive Palliative Care in the Home Care Setting

Join Rosalind Nelson-Gamblin as she delves into the topic of Supportive Palliative Care. This session will discuss the definition of supportive palliative care and current regulations and guidance for home health and hospice agencies.

Wednesday, August 31

9:00 am - 11:00 am
Opening Ceremonies & Keynote

This session will kick off with TAHC&H's Executive Director, Rachel Hammon and Board President, Kristen Robison welcoming attendees with an  association and industry update. We will then be entertained and motivated by the hilarious, Buzz Sutherland.  The 16-time Comedian of the Year believes that when it comes to success in your personal or professional life… IT’S ALL ABOUT FAMILY! Buzz will take you on a hysterical journey into how we can all improve our day-to-day experiences.

Speakers: Buzz Sutherland

Continuing Education:
Continuing Education: 1.0 clock hours for Admin/Alts. 

Target Audience:
Medicare                Private Pay
Community Care    Hospice
Pediatric

11:15 am - 12:30 pm
4a. Preparing for Medicare Home Health Value-Based Purchasing

After the five-year Medicare Home Health Value-Based Purchasing (HHVBP) Demonstration came to an end on December 31, 2020, CMS got busy digging into the data from across the nine HHVBP demonstration states. CMS has determined HHVBP saved money and should be expanded nationwide in 2023.  Join Strategic Healthcare Programs (SHP) data guru Chris Attaya for an analysis of Texas agencies overall performance compared to providers in other states.  Additionally, attendees will gain insight into what to expect in the next phase of HHVBP to ensure success.

Speaker: Chris Attaya, MBA, Vice President, Product Strategy, Strategic Healthcare Programs

Continuing Education:
Continuing Education: 1.25 clock hours for Admin/Alts. /  Nursing Credits: 1.25 contact hours

Target Audience:
Medicare

4b. Tips and Myths Leading a Multi-Generational Workforce

The aging demographics of the workforce coupled with realignment of individual priorities brought about by the pandemic have led many to label 2022 the “Great Resignation” or the “Great Reshuffle." As a result of this human capital conundrum, it has become evident that knowledge transfer, retention, and upskilling should be top of mind while managing this multigenerational workforce representing four and five cohorts. Using technology to boost productivity and efficiency is an effective way to scale organizations, however there are myths surrounding various cohorts’ application and competency which may challenge the culture of an organization. Join in as we explore various myths surrounding the generations and learn practical tips for improving your organization by embracing the diversity of a multigenerational team.

Speakers: Tammy Ross, MHA, BSN, Senior VP of Professional Services; Axxess 

Continuing Education:
Continuing Education: 1.25 clock hours for Admin/Alts. 

Target Audience:
Medicare                Private Pay
Community Care    Hospice
Pediatric

2:00 pm - 3:30 pm
5a. Finding the Value in OASIS E

In this session, SimiTree’s Jennifer Osburn will demonstrate how OASIS E data will be used to define your agency’s Home Health Quality Reporting portfolio and performance scoring for Value Based Purchasing. Learn which items are used in these programs, how the new Social Determinants of Health items will impact your agency, and why accurate data collection is imperative to agency success.

Speaker: Jennifer Osburn, RN, HCS-D, COS-C, Clinical Learning Solutions Manager,

SimiTree


Continuing Education: Continuing Education: 1.50 clock hours for Admin/Alts. /  Nursing Credits: 1.50 contact hours
Target Audience: Medicare

5c. Cleaning out the Home Health Closet - Operational Metrics for Value Era Success with all Payors

Value-Era changes mandated by the Impact Act have prompted an operational upheaval for HH Providers seeking success under PDGM. Without rewiring for clinical acuity rather than volume as the primary driver of Home Health, traditional agency operations often fail to achieve efficient, best practice care programs. This progressive presentation addresses Value-Based operations for the Impact Act era, focusing on specific operational metrics for success. Initially addressing Medicare episodes based on PDGM reforms, this session will also address how insight into operational metrics can guide programing for all payors. Start cleaning out your Home Health closet today and update operations with Value-Based management metrics for success.

Speakers: Arnie Cisneros, PT, President, Home Health Strategic Management and Kimberly McCormick, RN, BSN, Executive Clinical Director, Home Health Strategic Management

Continuing Education:
Continuing Education: 1.50 clock hours for Admin/Alts. /  Nursing Credits: 1.50 contact hours

Target Audience:
Medicare                Private Pay
Community Care    Hospice
Pediatric

5d. DOL and TWC Issues for Homecare Employees

This session will cover the basic requirements of the Fair Labor Standards Act for paying minimum wage and overtime, as well as exemptions from those laws, as well as recordkeeping, legal issues for wage deductions, best practices for drafting enforceable wage agreements, paying employees on time, and minimizing the risk of wage claims. The speaker will also discuss advanced wage and hour law topics, including minimum wage for the final pay period, how to deal with non-return of company property, the most common pitfalls under the FLSA, and how to handle final pay legally. Finally, the session will address what to do when an audit or wage claim investigation happens, how to appeal adverse rulings, how wage judgments can be enforced by legal authorities, and how to deal with upper management about the importance of following good advice for compliance with the laws. 

Speaker: Tommy Simmons, Legal Counsel for the Commissioner, Texas Workforce Commission

Continuing Education:
Continuing Education: 1.50 clock hours for Admin/Alts. 

Target Audience:
Medicare                Private Pay
Community Care    Hospice
Pediatric

3:45 pm - 5:15 pm
6a. Home Health Update on Revenue Cycle

Join nationally known speaker Melinda Gaboury as she delves into the significant changes in the proposed rule for the payments to Home Health agencies. It is vital for agencies to understand these changes and the devastating effect it will have if passed as proposed. In addition, Melinda will discuss the NOA issues that agencies have had and the impact that trickles down to the agencies. 

Speaker: Melinda Gaboury,  COS-C, Chief Executive Officer, Healthcare Provider Solutions

Continuing Education:
Continuing Education: 1.50 clock hours for Admin/Alts. /  Nursing Credits: 1.50 contact hours

Target Audience:
Medicare

3:45 pm - 5:45 pm
6b. Practice, Practice, Practice...Applying the Texas Nursing Practice Act and Ethics to Home Care

Become reacquainted with the Texas Nursing Practice Act, Texas BON rules and Position Statements.  Every nurse is responsible to know the Texas BON rules that apply to nursing practice. Also covered are ethical principles and professional boundaries.  Lisa Selman-Holman will take rules that every Texas nurse needs to know and practically apply those to home care.  This course will provide the 2 contact hours of continuing education on jurisprudence and ethics that is required for all Texas nurses

Speakers: Lisa Selman-Holman,  Vice President Quality and Education, McBee

Continuing Education:
Continuing Education: 2.0 clock hours for Admin/Alts. /  Nursing Credits: 2.0

Target Audience:
Medicare                Private Pay
Community Care    Hospice
Pediatric

Thursday, September 1

9:00 am - 10:15 am
General Session: Industry Update

Don’t miss out on this information packed industry update with Bill Dombi, President, National Association for Home Care and Hospice! With changes hitting agencies from all directions, Bill helps clear the path for agencies to address issues and stay operating as strong as ever.

*Workforce improvement action plans

*2023 HHPPS Rate Update Rule and Advocacy Strategies

* Hospice FY2023 Payment Rule

*OIG, UPIC, MAC, and SA Activity: The Alphabet Soup of Oversight

*Private Duty Home Care Issue Landscape

*Medicaid: Build Back Better? Is there life?

Speaker: William A. Dombi, President, National Association for Home Care & Hospice

Continuing Education:
Continuing Education: 1.25 clock hours for Admin/Alts. 

Target Audience:
Medicare                Private Pay
Community Care    Hospice
Pediatric

11:00 am - 12:15 pm
7a. A Comprehensive Look at Higher-Acuity Home-Based Care Models

This session will educate attendees on new higher-acuity, home-based care models, update them on the latest legislative and regulatory environments and review certain operational considering for any companies looking to participate in these new models of care.

Speaker: William A. Dombi, President, National Association for Home Care & Hospice and Kurt Baumgartel, Executive Vice President of Home Based Care, COMPASSUS 

Continuing Education:
Continuing Education: 1.25 clock hours for Admin/Alts. /  Nursing Credits: 1.25 contact hours

Target Audience:
Medicare

7b. Chronic Care Management - Benefits of an Evidence Based Program

Due to an aging population and improvements in healthcare and the diagnosis, treatment, and/or management of disease, many older people suffer from more than 1 illness. The most common comorbid chronic conditions that occur include heart disease, hypertension, respiratory disease, cerebrovascular disease, diabetes, joint disease, sensory impairment, and mental health problems. In order to optimize interventions and policies addressing multi-morbidity, we must have a clear understanding of the relationship between multi-morbidity and quality of care. In this session we will discuss best practices around dealing with comorbidities of the elderly population and what your agency can do to succeed with management of these patients.

Speaker: J’non Griffin, RN, MHA, HCS-D, HCS-C, HCS-H, COS-C, Principal, SimiTree Healthcare Consulting

Continuing Education:
Continuing Education: 1.25 clock hours for Admin/Alts. /  Nursing Credits: 1.25 contact hours

Target Audience:
Medicare                
Community Care    
Hospice
 

7c. Turning Vision Into Value: Top 3 Business Opportunities for Private Duty Agencies

Older Americans with chronic illness and other maladies of aging insist on remaining as independent as possible and aging in place. This presents the Private Duty arena with enormous opportunities. How can Private Duty agencies set themselves apart? What innovations have you yet to capitalize on? Industry experts will discuss several opportunities that your organization can take advantage of to serve your communities better while also increasing the value of your organization and having meaningful positive impacts on your bottom line. This session will touch on the top three business opportunities for Private Duty agencies and help your organization become a trailblazer.

Speaker: Sheila Davis,  Executive Senior Vice President, Area Operations, Always Best Care Senior Services, LLC

Continuing Education:
Continuing Education: 1.25 clock hours for Admin/Alts. 

Target Audience:
Private Pay

7d. Value Based Insurance Design Model

Expanding rapidly, Medicare Advantage networks in twenty-one states and Puerto Rico are participating in the Value Based Insurance Design Model for hospice. It is important now more than ever to understand the VBID Model for hospice, how it will impact hospice organizations as well as the ins and outs of working with participating Medicare Advantage Plans. Beginning with the why and moving through reimbursement, this session will bring the VBID Hospice Component into focus while providing strategies to be successful when partnering with Medicare Advantage plans.

Speaker: Melinda Gaboury, COS-C, Chief Executive Officer, Healthcare Provider Solutions

Continuing Education:
Continuing Education: 1.25 clock hours for Admin/Alts. /  Nursing Credits: 1.25 contact hours

Target Audience: 
Hospice

1:45 pm - 3:00 pm
8a. Red Flags and the New Home Health PEPPER Reports

Have you checked your PEPPER? Did you even know you have a PEPPER? CMS uses PEPPER as a guide for auditing and monitoring efforts. Although it does not identify improper payments, it can be used to identify practices that may lead that way. Petria will assist you in utilizing the PEPPER for identifying and correcting behaviors around the Review Choice Demo and TPE. PEPPER identifies your agencies’ bad behavior that shows you how you may be red flagging yourself to CMS and OIG. For CY2020 in Texas, only 34% of home health agencies have downloaded their reports.  Of the available 1,667 reports available, only 571 reports have been downloaded.  Nationwide the download rate is 48%. 

Speakers: Petria McKelvey, CEO, Precision Medical Billing

Continuing Education:
Continuing Education: 1.25 clock hours for Admin/Alts. /  Nursing Credits: 1.25 contact hours

Target Audience:
Medicare

8b. Acquisitions - Financial Considerations When Buying or Selling an Agency

Mergers & Acquisitions have been in full swing for a while now and many agencies are expanding by acquisition.  This session will review the financial considerations involved when an agency is bought or sold.  We'll discuss the difference between a Stock Purchase and an Asset Purchase as well as what information should be available and presentable for any potential acquisition - both from the seller's perspective and the buyers'.  For those not looking to sell soon, we'll also discuss steps you can take now to increase your potential sales price and attractiveness to buyers down the line.  Even if you never sell, being prepared to do so sets you up as a successful agency.

Speakers: Amy Knight, CPA; Knight CPA Group

Continuing Education:
Continuing Education: 1.25 clock hours for Admin/Alts. 

Target Audience:
Medicare                Private Pay
Community Care    Hospice
Pediatric

3:15 pm - 4:45 pm
9a. The Potential is There: How Potentially Preventable Hospitalization (PPH) Might Fit into Value-Based Purchasing (VBP)

Many of us awaited the proposed rule expecting that PPH would not only be part of the Quality Measures but added to the HHVBP model; it was not. Although PPH is not yet part of VBP, join us as we talk about why it will be eventually added to VBP and what your organization can begin to do today to prepare for what PPH will measure and how it will affect your Total Performance score when added.  In this session, we will review how calculations work and the vulnerabilities that PPH will bring to light.  Start today with strategies to reduce Acute Hospitalizations and thrive in VBP.

Speaker: Lisa Selman-Holman,Vice President Quality and Education, McBee

Continuing Education:
Continuing Education: 1.50 clock hours for Admin/Alts. /  Nursing Credits: 1.50 contact hours

Target Audience:
Medicare

9b. Outsourcing Your Back Office

Many agencies are looking for more and more ways to trim the expenses from their overhead and therefore recognize a stronger bottom line profit.  One significant cost savings they take advantage of is outsourcing work that can easily be outsourced while leaving the owners and operators in control of their businesses.  There are many back office functions that can be outsourced such as payroll, billing and QA – but accounting is an often overlooked back office function that can also be easily outsourced to provide the agency a better bottom line, reduced administrative staff costs and less back office management needed.  Not only can this be a cost savings but it can also really simplify the operations – less staff to manage and knowing that someone who is skilled at that activity is handling it.
In this session we will discuss which scenarios make the most sense to outsource the accounting function of the agency, how it works and what solutions are out there to assist in finding the right mix of outsourcing the work but still maintaining control.

Speaker: Amy Knight, CPA; Knight CPA Group

Continuing Education: Continuing Education: 1.50 clock hours for Admin/Alts. 

Target Audience:
Medicare                Private Pay
Community Care    Hospice
Pediatric