Changes in the 2017 Calendar Year Home Health Prospective Payment System

HEALTHCARE Feb 15, 2017 90 minutes
01:00 PM EST 12:00 PM CST 11:00 AM MST 10:00 AM PST

Description:-

This 90 minute program will provide information on the wealth of programmatic, financial and quality information contained in 2017 the home health prospective payment system final rule for home health. The session will educate home health staff on an overview of the changes in store for the Medicare home health benefit during calendar year 2017 plus drill down on key information every staff member must be aware of to ensure your home health agency will survive and thrive in 2017. The program will also offer a summary of next steps that agencies need to pursue to position themselves to succeed over the next year.

Benefits of this Event:-

Home health agencies can quickly educate their staff about key changes in home health quality and reimbursement issues in their own agency without the additional travel costs associated with sending staff off site and the hassle of covering patient visits and operational needs of the agency that occur when staff are absent from the agency for several hours to attend educational offerings. It is imperative that home health staff are knowledgeable about changes so that they can provide the most cost effective, comprehensive, quality care to their patients while achieving the outcomes critical to future success of the agency.

Areas Covered in this Session:-

This session will address the major components in the 2017 final prospective payment rule for home health including:

  • Changes in the case mix adjustment variables and scores for CY 2017.
  • Impact of the disposable negative pressure wound treatment payment policies on billing and home health reimbursement that will directly impact the cost of nursing and therapy services and include the use of new visit codes and allocation of visit time between the negative wound therapy Part B payments and skilled visits to the home health benefit.
  • Changes in the rates for non-routine supplies and visit rates used in calculating Low utilization payment and outlier adjustments.
  • Discussion of the payment adjustment changes under the prospective payment system including Low utilization payment adjustments, Partial Episodic payment adjustments and calculation of the outlier episodes.
  • Changes in the Home Health Quality Reporting Program

        - Changes in outcome measures are used in calculating Home Health Compare reports, Impact Act.

        - Changes to the calculations of benchmarks and achievement thresholds under the Value Based Purchasing Program.

        - Enforcement related to OASIS submission to the repository within 30 days and claim payment limitations if the OASIS is not submitted timely.

Who Should Attend?

Clinical staff from all disciplines, quality improvement and compliance staff, and administrative and office support staff working in home health agencies.

Presenter BIO

Judy Adams, RN, BSN, HCS-D, HCS-O, has been involved in health care in numerous health care setting over the span of her career. She has been involved in nearly every aspect of home health care over the last three decades including direct clinical care, supervision, administration and quality improvement.

 

In 2009, she opened her own education and consultation company with a primary focus on clinical, operational and regulatory aspects of home health and hospice care. Since that time, she has contributed to numerous articles and taught hundreds of classes to small and large groups of home health and hospice personnel at the agency, state and national level. She has maintained certification in coding and OASIS throughout this time and is active in monitoring regulatory changes to assist agencies with maintaining compliance with the numerous regulatory requirements that impact home care.

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