Day One
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| 8:00 am to 8:30 am |
Registration |
| 8:30 am to 9:30 am |
- Introductions
- Boot Camp Rules
- Manual and Handouts Overview
- Welcome to Quality Outcomes Boot Camp
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| 9:30 am to 12:30 pm |
Section 1: Conditions of Participation Changes
- CMS
- Standards removed
- New standards
- Compliance
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Section 2: Re-accreditation Process
- Accreditation Commssion for Health Care (ACHC)
- Survey Process
- Site visits by ACHC surveyor
- Dates for re-accreditation
- Service additions
- Common deficiencies
- On-going support
- Prep Checklists
- Webinars
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| 12:30 pm to 1:00 pm |
Lunch Break (Lunch Provided) |
| 1:00 pm to 5:00 pm |
Section 3: Home Health Care Compare
- MS websites
- OASIS-C2 indicators
- OASIS OBQI
- Example
- Home Health Star Ratings
- HHCAHPS
- Exemption / Participation periods
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Section 4: Personnel Regualtion Compliance
- Supervisory visits
- Evaluations
- Competency evaluations
- In-services
- Health requirements
- TB screening
- TB Risk Assessment
- Background screenings
- E-verification
- State requirements
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Section 5: Committees
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Section 6: CMS Value Based Purchasing Model (HHVBP)
- Specifics
- Compliance
- Effects on Agency
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Day Two
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| 8:30 am to 12:30 pm |
Section 7
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Section 8: Quality Outcome Measures
- Quarterly chart reviews
- Quarterly QAPI meetings
- Data collection
- Policy Review for Patient Care
- Trends
- Action Plans
- Quality Indicators
- Graphing results
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Section 9: QAPI Breakout
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| 12:30 pm to 1:00 pm |
Lunch Break (Lunch Provided) |
| 1:00 pm to 5:00 pm |
Section 10: Additional Documentation Requests (ADR)
- Details
- Responding to the ADR
- Face to Face Compliance
- Outcomes
- ZPIC Reviews
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Section 11: Business Development
- Planning
- Business Plan
- Strategic Plan
- SWOT
- Marketing Plan
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Section 12: Business Opportunities
- Med Waivers
- Insurance Credentialing
- Infusion Therapy Program
- Wound Care Program
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Day Three
|
| 8:30 am to 12:30 pm |
Section 13
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Section 14
- Coding for Correct Payment and Compliance
- The impact of Poor Coding
- The root causes
- How to fix it
- Intake best practices
- Strong clinical summary
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Section 15: Billing Issues
- Medicare PPS Reimbursement
- Eligibility Verifcation
- PECOS
- Episode Timing
- OASIS Transmittals
- OASIS Denials
- Visit G-codes
- Claim Exceptions
- Therapy
- NRS
- Billing Process
- Remittances
- Medicare claim rejections
|
| 12:30 pm to 1:00 pm |
Lunch Break (Lunch Provided) |
| 1:00 pm to 5:00 pm |
Section 16: Billing Issues (cont.)
- Commercial and Medicare Advantage Insurances
- Eligibility
- Understanding Commercial Insurance Types
- Medicare Advantage Plans
- Commercial Insurances
- Reimbursement
- Billing process
- Commercial Claim Rejections
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Section 17: Billing Software Presentation
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Section 18: Accounting Presentation - Doug Walters
- Tax Liabilities
- Medicare Cost Reports
- Annual Budgets
- Capital Expenditure Budgets
- Overtime
- External Review
- Final Questions and Answers
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