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Wednesday, February 13
 

7:30am

Breakfast
Wednesday February 13, 2019 7:30am - 8:30am
Aurora Foyer 1

7:30am

Registration
Wednesday February 13, 2019 7:30am - 4:00pm
Aurora Foyer 1

8:30am

PDGM Overview
The Patient Driven Groupings Model (PDGM) is the biggest change that has faced home health agencies in nearly two decades. This program provides a quick overview of the PDGM structure and operation along with a review of the concerns and opportunities triggered by PDGM. It helps form the base of understanding of PDGM needed for the conference in chief.

Objectives
  • Identify the structural framework of PDGM in comparison to the current payment model, HH PPS.
  • Explain the rational behind the PDGM changes
  • Identify the concerns and opportunities in PDGM along with ongoing PDGM reform efforts.

Speakers
avatar for Melinda A. Gaboury, COS-C

Melinda A. Gaboury, COS-C

mgaboury@healthcareprovidersolutions.com, Healthcare Provider Solutions, LLC
Melinda A. Gaboury is co-founder and Chief Executive Officer of Healthcare Provider Solutions, Inc. (HPS). Melinda Gaboury and Mark Cannon founded the company in April 2001 to provide financial, reimbursement, billing, operational and clinical consulting to the home care and hospice... Read More →


Wednesday February 13, 2019 8:30am - 9:00am
Aurora Ballroom 1

9:00am

PDGM Financial
Thriving (or even surviving) under the PDGM payment reform requires a clear understanding of how PDGM will affect financial outcomes in a home health agency. This session explores the fundamental steps necessary for home health agencies to assess the impact of PDGM on their operations and determine specific implications for budget and cash flow.

Objectives
•        Measure the financial impact on your organization
•        Recognize how PDGM will affect Revenue Cycle department and what you should do to adapt
•        Identify the role that your finance team will play as an integral part in preparing for PDGM

Speakers
avatar for Melinda A. Gaboury, COS-C

Melinda A. Gaboury, COS-C

mgaboury@healthcareprovidersolutions.com, Healthcare Provider Solutions, LLC
Melinda A. Gaboury is co-founder and Chief Executive Officer of Healthcare Provider Solutions, Inc. (HPS). Melinda Gaboury and Mark Cannon founded the company in April 2001 to provide financial, reimbursement, billing, operational and clinical consulting to the home care and hospice... Read More →
avatar for Aaron Little

Aaron Little

Managing Director, BKD, LLP
Aaron has more than 15 years of experience with BKD and oversees the operations of BKD Health Care Billing Services, a special team that manages the billing and revenue cycle operations for more than 100 home care, hospice and senior living organizations throughout the nation.A CPA... Read More →


Wednesday February 13, 2019 9:00am - 10:00am
Aurora Ballroom 1

10:00am

Morning Break
Wednesday February 13, 2019 10:00am - 10:15am
Aurora Foyer 1

10:15am

PDGM Clinical
With the implementation of PDGM there are many challenges that agencies will face from a clinical vantage point.  Documentation, care planning and care coordination are at the top of the list of best practice clinical strategies that will need to be reviewed.  This session  focuses on the interdisciplinary care planning, case conferencing and case management that are going to be imperative in effectively transitioning to the PDGM model.

Objectives
•        Outline the OASIS ADL Section & ICD-10 Coding Impact on the Home Health Resource Group (HHRG) under PDGM.
•        Describe how interdisciplinary care planning can manage cost effective and appropriate skill mix, including therapy utilization under the PDGM .
•        Outline best practice clinical strategies for managing LUPA thresholds as defined by PDGM.
•        Define the Clinical Manager role in the Clinical Team’s success under PDGM, including the significance of effective case conferencing and case management.

Speakers
avatar for Kim Skehan, RN, MSN, HCS-D, COS-C

Kim Skehan, RN, MSN, HCS-D, COS-C

Director, Regulatory & Quality Consulting, Simione Healthcare Consultants
Kimberly Skehan is Director of Regulatory and Quality Consulting at Simione Healthcare Consultants with more than 30 years of clinical, management and consulting experience in home health and hospice.Kim’s home health and hospice consulting experience includes startup and survey... Read More →
avatar for Gina Mazza, BSN, RN, CPHQ

Gina Mazza, BSN, RN, CPHQ

Fazzi
In Gina’s role at Fazzi, she is responsible for the operational consulting and regulatory and compliance services. She manages one of the largest OASIS and compliance groups in the country, has spearheaded a number of Fazzi’s national best practice initiatives, serves as the clinical... Read More →


Wednesday February 13, 2019 10:15am - 11:30am
Aurora Ballroom 1

11:30am

PDGM Operations
The new PDGM payment model will require agencies to consider process changes in their business operations.  Operational areas likely impacted under the new payment model include referral and sales management, intake, revenue cycle, operational reporting, order and supply management, etc.  This session will outline the areas impacted and provide recommendations for potential process changes to optimize operations performance under PDGM.

Objectives:
  • Outline how PDGM will require agencies to consider process changes in their business operations
  • Define key areas of operations that will likely require process changes and the operational risks involved if process changes are not made
  • Identify recommendations and strategies for process revisions and adjustments to achieve a successful operational transition into PDGM

Speakers
avatar for Melinda A. Gaboury, COS-C

Melinda A. Gaboury, COS-C

mgaboury@healthcareprovidersolutions.com, Healthcare Provider Solutions, LLC
Melinda A. Gaboury is co-founder and Chief Executive Officer of Healthcare Provider Solutions, Inc. (HPS). Melinda Gaboury and Mark Cannon founded the company in April 2001 to provide financial, reimbursement, billing, operational and clinical consulting to the home care and hospice... Read More →
avatar for Tom Keyer

Tom Keyer

Healthcare Consulting Manager, Mueller Prost
Tom brings over 37 years of healthcare experience.  Throughout his career, Tom has served as an Intermediary Senior Auditor, Reimbursement Manager, and Consultant.  In these roles, he gained experience and knowledge in various areas, including Medicare Cost Reporting and the Affordable... Read More →


Wednesday February 13, 2019 11:30am - 12:45pm
Aurora Ballroom 1

12:45pm

Lunch
Wednesday February 13, 2019 12:45pm - 1:30pm
Aurora Ballroom 3+4

1:30pm

PDGM Business Analytics
Changing from the HH PPS reimbursement system after 20 years to PDGM is complicated.  CMS has provided some data on the revenue impacts and new PDGM components, but there is much more to be considered.  This program is a deeper dive into some key data analytics to better inform you of the overall impacts and useful benchmark data you can use at your agencies.

Objectives
•        Achieve meaningful insights on clinical categories, utilization and other characteristics using claims data
•        Provide data drill downs on LUPA, lengths of stay and other operational metrics under PDGM
•        Obtain the tools and Key Performance Indicators to help prepare and run your organizations

Speakers
avatar for Aaron Little

Aaron Little

Managing Director, BKD, LLP
Aaron has more than 15 years of experience with BKD and oversees the operations of BKD Health Care Billing Services, a special team that manages the billing and revenue cycle operations for more than 100 home care, hospice and senior living organizations throughout the nation.A CPA... Read More →


Wednesday February 13, 2019 1:30pm - 2:45pm
Aurora Ballroom 1

2:45pm

Afternoon Break
Wednesday February 13, 2019 2:45pm - 3:00pm
Aurora Foyer 1

3:00pm

PDGM Technology
Your technology business partners are crucial participants in your preparation and ability to support PDGM.  In this segment, technology leaders from NAHC’s  Homecare Technology Association of America (HCTAA) will share recommendations on how best to engage your business partner for a successful PDGM adoption.  

Objectives:
•        Evaluate your business partner’s readiness
•        Leverage business partner informational and design sessions
•        Identify internal budget and skills in preparation of major system upgrades

Speakers
avatar for Billie Whitehurst, MS, RN, BC

Billie Whitehurst, MS, RN, BC

Vice President, General Manager Care at Home, Netsmart
Billie Whitehurst, MS, RN, BC is Vice President, General Manager Care at Home for Netsmart, where she leads efforts to help homecare and hospice providers achieve quality outcomes and sustainable operating improvements. Whitehurst has more than 20 years’ experience leading healthcare... Read More →


Wednesday February 13, 2019 3:00pm - 3:45pm
Aurora Ballroom 1

3:45pm

Joint Panel: PDGM Overall Change Management Open Forum
We bring together all of the covered topics in an open forum for discussion with attendees. The faculty team will explore the integration and overlap of matters related to Operations, Clinical Services, Financial Management, Business Analytics, and Technology. It is intended  as an interactive faculty/.attendees open forum.

Speakers
avatar for Billie Whitehurst, MS, RN, BC

Billie Whitehurst, MS, RN, BC

Vice President, General Manager Care at Home, Netsmart
Billie Whitehurst, MS, RN, BC is Vice President, General Manager Care at Home for Netsmart, where she leads efforts to help homecare and hospice providers achieve quality outcomes and sustainable operating improvements. Whitehurst has more than 20 years’ experience leading healthcare... Read More →
avatar for Melinda A. Gaboury, COS-C

Melinda A. Gaboury, COS-C

mgaboury@healthcareprovidersolutions.com, Healthcare Provider Solutions, LLC
Melinda A. Gaboury is co-founder and Chief Executive Officer of Healthcare Provider Solutions, Inc. (HPS). Melinda Gaboury and Mark Cannon founded the company in April 2001 to provide financial, reimbursement, billing, operational and clinical consulting to the home care and hospice... Read More →
avatar for Tom Keyer

Tom Keyer

Healthcare Consulting Manager, Mueller Prost
Tom brings over 37 years of healthcare experience.  Throughout his career, Tom has served as an Intermediary Senior Auditor, Reimbursement Manager, and Consultant.  In these roles, he gained experience and knowledge in various areas, including Medicare Cost Reporting and the Affordable... Read More →
avatar for Aaron Little

Aaron Little

Managing Director, BKD, LLP
Aaron has more than 15 years of experience with BKD and oversees the operations of BKD Health Care Billing Services, a special team that manages the billing and revenue cycle operations for more than 100 home care, hospice and senior living organizations throughout the nation.A CPA... Read More →
avatar for Gina Mazza, BSN, RN, CPHQ

Gina Mazza, BSN, RN, CPHQ

Fazzi
In Gina’s role at Fazzi, she is responsible for the operational consulting and regulatory and compliance services. She manages one of the largest OASIS and compliance groups in the country, has spearheaded a number of Fazzi’s national best practice initiatives, serves as the clinical... Read More →


Wednesday February 13, 2019 3:45pm - 4:15pm
Aurora Ballroom 1