MainCon Day 2 Sessions

Thursday, July 21, 2022

  • Keeping Some Extra "Clams" in Your Pocket: 3 Instant Up-Levels to Increase Your Profits, Impact & Authority

    Leverage your message, mission, and influence to increase your profits, become the first-choice provider, and position your team to deliver professional solutions through simple, repeatable systems that scale.

      9:00-10:20 AM
      Citron East
      Private Duty Track
      Jessica Nobles & Clinton Nobles, Home Care Ops
  • PDGM Operational Summit: Interactive Session to Address Your Outcomes

    As home health moves forward with the Medicare Patient-Driven Groupings Model (PDGM) and other IMPACT Act reforms, we encounter home health providers who want to improve their operations for value-based purchasing (VBP). After talking with these agencies about operational areas related to value outcomes, it became apparent that they fail to recognize the improvements they need to achieve those outcomes. While most providers take the "we're fine" approach in terms of operations, they simultaneously lose clinical and fiscal returns in areas such as intake, scheduling, SOC (Start of Care) control, POC (Plan of Care) management, content management, and matching Star Ratings to HHCAHPS (Home Health Consumer Assessment of Healthcare Providers and Systems).

    In this interactive session, we will discuss the nuances of operations for the PDGM, VBP, and other future reforms. We will also demonstrate areas of your agency where a review of operations can lead to success today and tomorrow.

      9:00-10:20 AM
      Citron West
      Medicare Track
      Arnie Cisneros & Kimberly McCormick, Home Health Strategic Management
  • Leading Through 2023 Changes: Transition to OASIS-E & HHVBP Expansion

    Join the presenters for their recommendations and timelines about how Florida home health agency leaders should prepare for the transition to the Outcomes and Assessment Information Set (OASIS)-E and the nationwide expansion of the Medicare Home Health Value-Based Purchasing Model (HHVBP). Participants in the nine-state HHVBP demonstration will receive an update on what to expect when the expansion begins on January 1, 2023. As the industry prepares for the transition to OASIS-E on January 1, 2023, the speakers will also discuss what clinicians should know about how their answers to new OASIS-E questions might influence patient outcomes and reimbursement.

      9:00-10:20 AM
      Meyer 1
      Medicare Track
      Chris Attaya, Strategic Healthcare Programs & Sue Payne, Corridor
  • Emergency Management: What You Need to Know to Keep Your Agency Ready, Compliant & Roaring!

    The session will focus on understanding emergency management and what home care providers need to know to be prepared. Due to the COVID-19 Public Health Emergency of the past two years, regulatory changes have been introduced that impact your agency's Comprehensive Emergency Preparedness Plan (CEMP). Lisa McClammy, Senior Clinical Education Consultant with MAC Legacy, will go over the requirements and implementation of your CEMP, which includes policies and procedures, risk assessments, communication plans, training and testing, drills, and documentation of your activities. As part of the discussion, we will also explore the "all-hazards" approach to risk assessment as it relates to emerging infectious diseases (EIDs) and recommended best practices in the interpretive guidelines.

      9:00-10:20 AM
      Meyer 2
      Business Operations Track
      Lisa McClammy, MAC Legacy
  • Tips and Myths Leading a Multigenerational Workforce

    As a result of the aging demographics of the workforce combined with the reorientation of priorities prompted by the pandemic, many have labeled 2022 "The Great Resignation" or "The Great Reshuffle". This human capital conundrum has led to the realization that knowledge transfer, retention, and upskilling should be a top priority when managing this multigenerational workforce comprising four and five cohorts. Although technology can boost productivity and efficiency, there are myths surrounding cohorts' application and competence, which may challenge the culture of an organization. Discover various myths surrounding the generations and learn practical tips for embracing the diversity of a multigenerational team to improve your organization.

      9:00-10:20 AM
      Sunburst
      General Track
      Tammy Ross & Anita Paxton, Axxess
  • Strategies to Promote Independence in Your Clients With Dementia

    Globally, the number of individuals with dementia will nearly triple to greater than 152 million by 2050. There is an impending need and an opportunity for home health agencies to promote interventions to assist people with dementia to maintain their current level of function in the home setting. Individuals with dementia lose independence due to progressive neurological deterioration of the disease. There are numerous strategies that can be employed to help the client with dementia to live at least restrictive level of care, improve quality of life and delay placement. Behavior and functional issues that are addressed are often the precipitant to a move to a higher level of care. What can your agency do to enhance your dementia care offerings and foster revenue growth.

      10:50-11:50 AM
      Citron East
      Private Duty Track
      Amy Craven & Katherine Vanderhorst, C&V Senior Care Specialists, Inc.
  • After Receiving Secret Knock on the Door, How to Improve Your Certified Intake Process

    Home care’s intake process is no longer simply receiving the information given from a referral source and performing the necessary data entry. The PDGM's (Patient-Driven Groupings Model) devil is in the details. Eligibility requirements, homebound criteria, appropriate referring diagnosis and conditions, recent procedures or injuries, special skilled service needs and clinical characteristics all determine home health periods of care and meaningful clinical groupings and payment categories. After your agency receives that elusive and potentially rewarding referral, does your staff know the critical details to ascertain, the pertinent questions that need answered, the components of a complete physician visit note, and how to communicate all of this to clinical and billing staff? As the other teams receive these details, do they feel empowered to follow-up and request additional information if they recognize a gap in needed details? A continuous feed-back loop should be implemented to perfect your intake and communication process. In truth, your entire team needs to know the signs and signals, much like secret handshakes, to implement a successful intake process under the PDGM.

      10:50-11:50 AM
      Citron West
      Medicare Track
      J’non Griffin, SimiTree Healthcare Consulting
  • Building a Quality Improvement Program

    This session will provide an overview of what the Quality Assurance and Performance Improvement (QAPI) program entails, as well as the purpose and importance of having a quality improvement program for both Medicare and Private Duty providers. Becky Tolson, RN, Clinical Compliance Educator at the Accreditation Commission for Health Care (ACHC), will discuss the five standards of effective quality management, how to implement a Performance Improvement Project (PIP), and how to evaluate the success of a program. In addition, this session will examine what ongoing considerations your program should include and what the top deficiencies are in accreditation surveys.

      10:50-11:50 AM
      Meyer 1
      Clinical/Quality Improvement Track
      Becky Tolson, Accreditation Commission for Health Care
  • Community Cyber Attack: Is Your Agency Ready to Handle This "Beef"?

    It is more important than ever for our agencies to be prepared for unimaginable events, including a cybersecurity attack. In this presentation, the audience will participate in a simulated tabletop activity. For ease of implementation in their own organizations, attendees will be provided with activity and after-action report templates.

      10:50-11:50 AM
      Meyer 2
      General Track
      Maureen Albertson, Millennium Homecare, LLC
  • Strategic Development: Process Improvement Initiatives for Times of Transformation

    This session will discuss why strategic process improvements are essential during times of change. The effects of the pandemic on your organization's culture, morale, recruitment, retention, as well as financial outcomes — all combined with the ever-changing regulatory and reimbursement landscape — can make the future seem overwhelming. With the use of strategic process improvements, the impact of the Home Health Value-Based Purchasing (HHVBP) Model, the sustained growth of Medicare Advantage, the reduction of Medicare Fee-for-Service (FFS), and the recent addition of the Value-Based Insurance Design Model (VBID) can be moderated. This session will help you understand how the strategic planning process works, how it can prepare you for these changes and the ones to come, and, above all, how to roll these initiatives out to your staff so they can ensure your agency will thrive despite the stresses of the operating environment today as well as the rise of these transformational reimbursement models.

      10:50-11:50 AM
      Sunburst
      General Track
      Michael Puskarich, McBee
  • Home Care Roundtable Chats

    Participate in the following informal, off-the-record, curated roundtable discussions based on your business interests, moderated by industry leaders.● Private Duty Roundtable with John Tyrkala of Nuclear Care Partners (Citron East)● Clinical Supervisors Roundtable with J’non Griffin of SimiTree Healthcare Consulting (Citron West)● Marketing Roundtable with Jessica Nobles and Clinton Nobles of Home Care Ops (Meyer 1)● Financial Managers Roundtable with Melinda A. Gaboury of Healthcare Provider Solutions, Inc. (Meyer 2)● Human Resources Roundtable, moderated by Shelby Betts and Greg Henderson of Whirks (Sunburst)

      1:30-2:30 PM
      See overview for details
      See overview for details
      See overview for details
  • The Secrets of Home Care Hiring: Find and Hire More Caregivers and Keep Them From "Scramming"

    This presentation by Rachel Gartner, a leading provider of home care hiring solutions, will discuss why caregivers may not choose to work for your agency, how to make your job ads stand out, and how to end the downward spiral that understaffed agencies often experience.

      2:50-4:10 PM
      Citron East
      General Track
      Rachel Gartner, Carework
  • Home Health PEPPER: What's New?

    The PEPPER (Program for Evaluating Payment Patterns Electronic Report) has swiftly become the focal point of everyone's attention when it comes to Medicare home health medical reviews. PEPPER data, which comes from processed claims information, plays a substantial role in deciding whether to medically review an agency or not. Many of the targets PEPPER calculates are extremely beneficial to home health agencies. By utilizing these targets, you can gain insight into claims details that may have been overlooked and may have affected target calculation. The session will cover the key elements of PEPPER targets and how to review the data you have within your organization, if necessary, to determine how they can be improved. PEPPER targets have evolved with the implementation of the Patient-Driven Groupings Model (PDGM), so don’t miss this session to be prepared!

      2:50-4:10 PM
      Citron West
      Medicare Track
      Melinda A. Gaboury, Healthcare Provider Solutions, Inc.
  • Regulations to Records: Get Hip to Compliant Charting

    Despite the COVID-19 public health emergency and the full resumption of the Medicare Review Choice Demonstration (RCD), medical review activities have been fully resumed. The triggering of a medical review poses an additional challenge to agency operations.
    Aside from the RCD, multiple Medicare, Medicare Advantage, and commercial insurance reviewers examine medical records for accuracy, including those that are newly billed and reopened claims. It is common for home health agencies to focus on survey compliance rather than reviewing their medical records from a compliance and payment perspective. Medical reviews, audits, or probes can pose great difficulties if you are selected to undergo one of these processes.
    Compliant clinical records are the key to success, whether it is through the RCD, the Unified Program Integrity Contractor (UPIC), the Recovery Audit Contractor (RAC), the Supplemental Medical Review Contractor (SMRC), or Comprehensive Error Rate Testing (CERT). The required rules and regulations should be incorporated into the content at the time of creation, not later.
    The presentation begins by outlining key coverage requirements from Medicare regulations and what they actually require. It then provides examples of how to reflect these in the home health record to address known denial reasons. These include both nursing and therapy medical necessity requirements. In linking what is actually needed with known denial reasons, it shows how proper documentation can prevent negative outcomes. This also applies to the RCD when the full record is not reviewed in pre-claim review or when it is reviewed under an Additional Documentation Request (ADR) option.
    This session provides a solid foundation for educating your staff to prevent future denials and audits. Your current staff can learn how to chart correctly, while new staff can learn from the actual regulations to start right. The topics covered in this session can also be applied to Medicare Advantage medical reviews that are not subject to the RCD.

      2:50-4:10 PM
      Meyer 1
      Medicare Track
      Joe Osentowski, Gateway Home Health Coding & Consulting
  • Survey Survival! Practical Strategies to Avoid Being "Behind the Eight Ball"

    Perpetual survey compliance is not a fantasy. The session will explore practical ways to integrate compliance into your daily operations as well as steps to determine survey readiness. With these techniques, you can avoid deficiencies while promoting positive patient outcomes.

      2:50-4:10 PM
      Meyer 2
      Clinical/Quality Improvement Track
      Nancy E. Allen, Solutions for Care, Inc. & Margherita Labson, McLabson Consult Ed
  • Making Your Agency's Customer Service the Bee’s Knees

    Do you find yourself getting lost in nostalgia for the good old days when first-class customer service was provided simply because it was the right thing to do? Why stand by and dream when we can take action and learn from those times to make today even better? In this session, we will set a new path toward providing unparalleled customer service once again. We will discuss how professional etiquette and customer service needs to flow from the top of an organization down through the internal staff and out to our patients. These skills will be discussed in-depth and easy-to-accomplish goals will be provided that will make your team the envy of your community.

      2:50-4:10 PM
      Sunburst
      Business Operations Track
      John Dalton, Optimum RTS
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