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Learn to Prepare For and Survive Home Health's New Payment System

Product Code: YPADA101117D

Quick Overview

Learn how your agency can prepare now for this drastic new payment system. Home health expert Robert Markette will deliver an in-depth review of HHGM and provide guidance to help your agency get ready for the massive changes coming your way.

Price: $249.00

Learn to Prepare For and Survive Home Health's New Payment System

Learn to Prepare For and Survive Home Health's New Payment System

Recorded • Wednesday, October 11, 2017

On Demand access!

Presented by:
Robert Markette, attorney, Hall, Render, Killian, Heath & Lyman, P.C.

Level of Program:
Basic

Home health stakeholders are readying themselves for drastic changes proposed for the way CMS plans to pay agencies beginning in 2019. CMS plans to change from a prospective payment system (PPS) to a Home Health Groupings Model (HHGM) “in a non-budget neutral manner,” which would create $950 million in cuts to home health come 2019. The HHGM is a dramatically different way home health agencies will be paid for care they provide.

This new payment system will cause home health agencies to revisit every part of their current processes, including their current operations, billing, coding and documentation practices in order bill accurately and collect timely payment.

Learn how your agency can prepare now for this drastic new payment system. Home health expert Robert Markette will deliver an in-depth review of HHGM and provide guidance to help your agency get ready for the massive changes coming your way.

Use this comprehensive 90-minute on-demand webinar to:

  • Determine how much money the new model will pay your agency compared to the prior model
  • Examine how to submit claims sooner
  • Identify what kinds of patient mix will generate highest HHRG weights vs. lowest HHRG weights
  • Prepare now for HHGM with tools available to your agency

Agenda 

  • Delve into why CMS decided to shift from a PPS to a HHGM payment model
  • Understand how therapy will be treated under the HHGM, and what agencies will likely do as a result
  • Learn how the length of episodes will change from 60 to 30 days under HHGM — and what that will mean for your agency’s billing processes
  • Walk through the main elements that will be included in the new HHRGs, such as admission source and timing from claims, clinical grouping based on principal diagnosis reported on the claim, functional level based on a few select OASIS items and a comorbidity adjustment based on secondary diagnoses
  • Examine the future of RAPs
  • Understand what kinds of patient mix will generate highest HHRG weights vs. lowest HHRG weights under the new system

Plus - 10 Bonus Takeaway Tools!

  • Grouping Tool – Functional Thresholds
  • Grouping Tool – Grouping
  • Grouping Tool – HIPPS code structure
  • Grouping Tool – ICD10 DXs
  • Grouping Tool – OASIS Items
  • Grouping Tool – OASIS response combinations
  • Grouping Tool – Weights
  • HHGM weights
  • HHGM grouping tool
  • LUPA thresholds

Who Should Listen?

  • Home health agency administrators
  • Owners
  • CEOs, COOs, CIOs, CFOs, presidents
  • Office managers
  • Quality managers
  • Performance improvement managers
  • Directors of nursing
  • Clinical supervisors

Your Expert Presenter 

Robert MarketteRobert Markette, attorney, Hall, Render, Killian, Heath & Lyman, P.C.

Robert's primary areas of practice are health law, Medicare/Medicaid compliance, fraud and abuse, employment law and litigation. He is certified in health care compliance by the Health Care Compliance Board. Robert assists clients including county health departments, home health agencies, private duty agencies, hospices and physicians with a wide range of health care compliance and litigation issues.