National Association for Home Care & Hospice

Session : NAHC1043
Opening General Session: National Update
Conference : 16th Annual Financial Management Conference & Exposition
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Faculty: Val J. Halamandaris, President, National Association for Home Care & Hospice, Washington, DC and William A. Dombi, Vice President for Law, National Association for Home Care & Hospice, and Director, Home Health & Hospice Financial Manager’s Association, Washington, DC

The traditional opening of the annual Financial Management Conference is the National Update on legislative, regulatory, and legal issues. This year, health care reform presents an unprecedented breadth and depth of change for home care and hospice. The legislated reforms are now law and the action has shifted to the regulatory implementation. This plenary session reviews those monumental changes and offers a forecast on their impact on home care and hospice in 2010 and beyond.

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Session : NAHC1044
General Session: HHFMA Leadership Panel
Conference : 16th Annual Financial Management Conference & Exposition
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Moderator: William J. Simione, Jr., Founding Member, FHHC, Simione Consultants, LLC., Hamden, CT, and Chair, Home Care & Hospice Financial Management Association, Washington, DC Panelists: Mark Heaney, BA, CEO, Addus Healthcare, Palatine, IL; William T. Cuppett, Managing Partner, Dixon Hughes, Morgantown, WV; Michael Gervais, BS, CPA, CEO, Gemino Healthcare Finance; Keith Crownover, Chair of HCTAA & CEO Delta Health Systems, Altoona, PA; Denise Bonn, Esq., Deputy Director, Center for Health Care Law, National Association for Home Care & Hospice, Washington, DC; and Keith Myers, CHCE, President & CEO, LHC Group, Inc., Lafayette, LA (invited)

The HHFMA Leadership Panel is one of the annual highlights of the Financial Management Conference and 2010 will be no exception. The dramatic changes in health care delivery and finance that are triggered by the health care reform legislation will demand creativity, ingenuity, and significant energy from home care professionals to gain full advantage of the opportunities and to conquer the upcoming challenges. The esteemed panelists, representing a wide range of interests in home care and hospice, will offer their insights and observations on the changed environment and what are the best moves forward.

Session : NAHC1045
"It's All About Integrity…" Raising the Compliance Bar: The Commitment to Organization-Wide Integrity
Session 101
Conference : 16th Annual Financial Management Conference & Exposition
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Faculty: John Indest, Special Advisor to the CEO, Director and Former President and Chief Operating Officer, LHC Group, Inc.; Lafayette, LA; Peter C. November, Executive Vice President and General Counsel, LHC Group, Inc.; Lafayette, LA; Joshua L. Proffitt, Senior Vice President and Chief Compliance Officer, LHC Group, Inc.; Lafayette, LA; Vickie M. Monteith, Director, Health Sciences, Healthcare Providers and Regulatory Risk and Compliance, Deloitte & Touche, Charlotte, NC; and Cheryl J. Golden, Senior Manager, Health Sciences and Regulatory Risk and Compliance, Deloitte & Touche, Tampa, FL

Representatives of LHC Group, Inc., a national provider of home care, hospice and other health care services, and Deloitte & Touche, one of the nation’s top healthcare consulting firms, will provide a panel discussion on how LHC Group resolved to be part of the solution regarding compliance issues from federally financed health care programs. The result was a redesign of its compliance program which is now viewed as a “best of class” compliance program and is a leading example within the health care industry. Panelists will share the steps they have taken within the last year and a half to achieve their goals of engaging the entire LHC Group “family” in their commitment to integrity, ethics and compliance.

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Session : NAHC1046
Effective Strategic Planning and Forecasting for Home Care Initiatives
Session 102
Conference : 16th Annual Financial Management Conference & Exposition
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Faculty: Mark Sharp, CPA, Partner, BKD, LLP, Springfield, MO

Health care reform provides both challenges and opportunities for home care and hospice providers. Strategic planning and forecasting will be critical practices for management to guide successful initiatives to address these challenges and opportunities. This program is designed to provide agency management with the knowledge and tools to develop and implement effective strategic plans and forecasts to serve as a road map for all of its initiatives.

Session : NAHC1047
Cost Savings in All Operations: Home Health & Hospice
Session 103
Conference : 16th Annual Financial Management Conference & Exposition
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Faculty: Melinda A. Gaboury, CEO, Healthcare Provider Solutions, Inc., Nashville, TN and Larry Leahy, Vice President of Finance, Foundation Management Services, Inc., Denton, TX; Mark Francis, CPA, Managing Director, Healthcare Investment Banking, Houlihan, Lokey, Howard, Zukin, Dallas, TX

The combination of legislative and regulatory changes in Medicare and Medicaid reimbursement rates necessitate a keen eye and sharp pencil to secure the cost efficiencies to maintain the financial stability of home care and hospice businesses. This program reviews the extensive and varied categories of cost indicators in overhead, administrative, workforce, service utilization and technology. The program then explores the manner in which a home health agency or hospice can evaluate its cost indicators and implement appropriate changes to achieve improved efficiencies.

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Session : NAHC1048
Maximizing Collection Efforts: Home Health & Hospice
Session 201
Conference : 16th Annual Financial Management Conference & Exposition
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Faculty: Melinda A. Gaboury, CEO, Healthcare Provider Solutions, Inc. Nashville, TN

Revenue is essential for any organization including home care and hospice. Collecting that revenue from third-party payers and directly from clients requires a well constructed and efficient operations system that includes competent staff who have all the appropriate tools available in a timely fashion. This program addresses the essential elements of a successful bill collections program including staff skill sets, data supports, and payer billing barriers and remedies.

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Session : NAHC1049
Revenue Diversification – The Cure for Addiction to Medicare Home Health
Session 202
Conference : 16th Annual Financial Management Conference & Exposition
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Faculty: Walter W. Borginis,III, CPA, Executive Vice President of Finance, CFO, Visiting Nurse Association of Greater Philadelphia, Philadelphia, PA; and David Berman, CPA, CVA, Simione Consultants, Hamden, CT

Faced with the threat of reductions in the level of Medicare reimbursement as a result of health care reform legislation, this session will provide direction on achieving success with additional revenue sources available to the typical home health agency. These areas include hospice as a supporting revenue source and extension of your patient services, Medicaid waiver programs, private duty services and other avenues of providing additional services to your community. By using these programs to diversify your revenues, your agency will be in a much stronger position to face uncertain times.

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Session : NAHC1050
Understanding the Opportunities and Risks to Home Health Care in Chronic Care Management
Session 203
Conference : 16th Annual Financial Management Conference & Exposition
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Faculty: Christopher M. Attaya, Partners Home Care, Waltham, MA; and Beth Hennessy, RN, MSN, Executive Director, Baptist Health Home Heath Network, Little Rock, AR

In the 2010 health reform legislation, Congress authorized the establishment of several pilot programs and demonstration projects designed to test new models of chronic care management. Initiatives such as the Medical Home and Independence at Home (IAH) now incorporates physician practices into care of the chronically ill. How does home health promote their value to be a part of these programs and what options do providers have to be at the center of these care delivery teams? This session will explore these new initiatives and give an example of how agencies can develop programs that will showcase the lead role home care can have.

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Session : NAHC1051
Home Health Benchmarks – What Successful Agencies are Doing
Session 301
Conference : 16th Annual Financial Management Conference & Exposition
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Faculty: Mark Sharp, CPA, Partner, BKD LLC, Springfield, MO; William Bassett; Vice President, Home Health Division, Deyta, LLC, Louisville, KY; Barbara Rosenblum, President/CEO Strategic HealthCare Programs, Santa Barbara, CA; and Richard Chesney, President, Healthcare Market Resources, Dresher, PA

With Medicare rate changes on the way, home health agencies must find ways to operate more effectively to survive and thrive. This program will present the trends of successful Medicare home health agencies based on the findings of a national home health benchmark study. The key performance indicators of high margin, high quality home health agencies will be compared and contrasted to the performance of other agencies.

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Session : NAHC1052
Employer-Employee Relationships…Matching Mutual Goals and Expectations
Session 302
Conference : 16th Annual Financial Management Conference & Exposition
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Faculty: Lynda Laff, BSN, COS-C, Principal, Laff Associates, Hilton Head Isalnd, SC; and Pat Laff, Managing Principal, Laff Associates, Hilton Head Island, SC

The challenges for home care and hospice providers in maintaining profitable operations and improving their patient outcomes while facing decreasing revenue rates will largely fall upon the clinical management and staff. Productivity, case capacity and outcome achievement in a value based purchasing environment indicates the necessity for a team of stable, well-educated and trained field clinicians that has significant positive chemistry in concert with management. Excellent leadership is an art and a skill which fosters teamwork. Good leaders know that direction is not leadership. Realistic goal expectations should be packaged with an appropriate total compensation package that rewards staff for their performance in an encouraging environment. This program is designed provide the steps needed to secure positive employment relationships while improving clinical and financial outcomes.

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