Advanced Skilled Home Health (Medicare) Boot Camp Training Agenda

Day One

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
9:30 am to 12:30 pm Section 1: Conditions of Participation Changes
  • CMS
  • Standards removed
  • New standards
  • Compliance
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
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
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
Section 5: Committees
  • Types
  • Specifics
Section 6: CMS Value Based Purchasing Model (HHVBP)
  • Specifics
  • Compliance
  • Effects on Agency

Day Two

8:30 am to 12:30 pm Section 7
  • What I learned Day 1
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
Section 9: QAPI Breakout
  • Group Exercise
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
Section 11: Business Development
  • Planning
  • Business Plan
  • Strategic Plan
  • SWOT
  • Marketing Plan
Section 12: Business Opportunities
  • Med Waivers
  • Insurance Credentialing
  • Infusion Therapy Program
  • Wound Care Program

Day Three

8:30 am to 12:30 pm Section 13
  • What I learned Day 2
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
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
Section 17: Billing Software Presentation
  • Alora Software
Section 18: Accounting Presentation - Doug Walters
  • Tax Liabilities
  • Medicare Cost Reports
  • Annual Budgets
  • Capital Expenditure Budgets
  • Overtime
  • External Review
  • Final Questions and Answers