National Association for Home Care & Hospice

Session : NAHC1325
601: Hospice Summer Camp 2013
Pre-Conference 1
Conference : 2013 Annual Financial Management Conference & Exposition
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$15.00

This program provides a thorough overview of the financial aspects of hospice, including discussion of emerging national economic and policy changes which will impact hospice operations, regulatory issues and revenue enhancing strategies. It is structured for intermediate-advanced hospice executives. The Hospice Summer Camp is designed specifically for professionals seeking to sharpen the skills and knowledge needed to improve management of hospice financial operations in this changing environment.

Topics to be addressed include: Health care reform and participating in the changes Palliative care services and impact on hospice service General inpatient services, owned or leasing arrangements, respite and residential services Financial accounting for all hospice services including bereavement, physician services, volunteers, therapies including music, massage, pet, and liaisons or community representative Strategies for cost containment and other operational efficiencies Strategies for revenue enhancement including public education and marketing methodologies Cost reporting for the future

Objectives: 1. Identify hospice financial management essentials including the accounting, operational and statistical structure for a home health agency 2. Review crucial reimbursement and revenue strategies to achieve bottom-line success with hospice 3. Describe health system dynamics that may affect future opportunities for hospice and palliative care services 4. Explain the intent behind government efforts to increase hospice reporting requirements and modify the hospice cost report 5. Identify reports required for monitoring financial operations and the specific components used to calculate each indicator 6. Recognize the expected capabilities of an agencys IT systems and internal/external data sources 7. Identify specific analysis procedures to understand and optimize financial operations

Faculty: David Berman, CPA, CVA, Principal, Simione Healthcare Consultants, Hamden, CT; Donna Gouveia, CPA, President/CEO, Visiting Nurse Service of Greater Rhode Island, Lincoln, RI; Larry Leahy, BS, MA, MHA, CFO, Foundation Management Services, Denton, TX; Mary McIntosh

Session : NAHC1326
701: Home Health Summer Camp 2013
Pre-Conference 2
Conference : 2013 Annual Financial Management Conference & Exposition
Speaker(s) :

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$15.00

Home health personnel new to the industry, new agencies and established agencies will benefit from a detailed understanding of the fundamental financial tools and operational strategies for developing and maintaining positive financial outcomes. This is a program designed for beginning to intermediate level financial staff members who have some experience in home care financial management and who wish to expand their knowledge in the diverse world of home care finance.

This session topics will include: Current Medicare reimbursement issues faced by home health agencies Essential benchmark data needed to manage a home health agency How to best use the Medicare cost report as a management resource tool Achieving compliance with reporting responsibilities on organizational change and structure Establishing billing oversight processes Undertaking a feasibility analysis for instituting new programs, expanding service areas, and creating branch offices

Objectives: 1. Recognize the current Medicare reimbursement issues affecting home health agencies and how to best deal with them 2. Identify essential benchmark data in home health services, acquisition points, and best practices in managing data 3. Interpret the proven techniques for maximizing the Medicare cost report as a financial management tool 4. Identify the requirements for timely reporting of organizational changes through the CMS 855 5. Develop useful processes for achieving compliance with Medicare coverage and billing requirements

Faculty: Thomas Boyd, MBA, BA, Principal, Boyd & Nicholas, Inc., Rohnert Park, CA; Melinda Gaboury, COS-C, BBA, CEO, Healthcare Provider Solutions, Inc., Nashville, TN; Aaron Little, CPA, Director, BKD, Ltd., Springfield, MO; and William J. Simione III, BS, Principal, Simione Healthcare Consultants, Hamden, CT

Session : NAHC1327
900: National Update
Opening General Session
Conference : 2013 Annual Financial Management Conference & Exposition
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$15.00

The White House and Congress continue to put health care in the spotlight with deficit reduction debates and care delivery reforms. The future of Medicare and Medicaid are the centerpiece of the Washington health care dialogue with concerns on program sustainability and the need for dramatic changes. With the full-scale implementation of health care reform under the Affordable Care Act set for 2014, this year promises to be one of the most important ever in the history of U.S. health care. Home care and hospice are very well positioned to step forward as prime solutions to what ails our health care system. This opening session brings Washington to the stage with up-to-the-minute details on the legislative and regulatory landscape along with a forecast of the impact of national politics on health care.

Objectives: 1. Identify the crucial health care issues pending before Congress and the Administration 2. Define the innovations underway in Medicare and Medicaid creating opportunities for home care 3. Discuss the impact of the 2012 elections on home care and hospice and the balance of power on health care

Faculty: Val J. Halamandaris, JD, President, National Association for Home Care & Hospice; William A. Dombi, Esq., Vice President for Law, National Association for Home Care & Hospice; Executive Director, Home Care & Hospice Financial Managers Association, Director, Center for Law, Washington, DC

Prerequisite: Basic knowledge of legislative, regulatory, and legal issues in home care and hospice.

Session : NAHC1328
901: HHFMA Leadership Panel The Future Belongs to Home Care and Hospice
Conference : 2013 Annual Financial Management Conference & Exposition
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For over a decade, the annual Financial Management Conference has included a General Session where a diverse group of leaders in home care and hospice offer their views and insights on how to succeed in the ever-changing health care world. The HHFMA Leadership Panel returns for 2013 and promises to be the best ever. The accelerating changes in health care delivery and financing necessitate a hands-on management by the leaders in home care and hospice companies of all sizes. The HHFMA Leadership Panel is the epitome of leadership in that regard and each of the panelists will share their vision of what it takes to adapt and seize the nearly endless opportunities in the evolving world of health care. Whether it is ACOs, bundling, Medicaid Managed Care, hospice development and transformation, expanding technologies, or the growing private pay markets, these leaders are at the top of the game.

Objectives: 1. Identify how and where home care and hospice best fit in transformed health care delivery model and anticipated developments in the future 2. Describe the advantages and opportunities for home care and hospice to have a commanding role in the new system 3. Discuss the organizational, technological and financial strategies needed for home care and hospice to win in 2013 and beyond

Moderator: William J. Simione, Jr., BS, FHHA, CGMA, CPA, Founder, Simione Healthcare Consultants, LLC., Hamden, CT

Panelists: Catherine Follmer, RN, BSN, MBA, HCM, Vice President, Catholic Healthcare Partners, Cincinnati, OH; Mary Ann Christopher, MSN, RN, FAAN, CEO, Visiting Nurse Service, New York, NY; Keith Myers, BS, Chairman & CEO, LHC Group, Lafayette, LA; Mark Francis, BBA, CPA, Principal, Houlihan Lokey, Dallas, TX; David Tramontana, BS, CEO, Home Care by Black Stone, Cincinnati, OH; Keith Crownover, William Yarmuth (invited)

Prerequisite: Basic knowledge of health care reform legislation.

Session : NAHC1329
902: Healthcare Leadership Panel The Views of Health Care Industry Stakeholders
Conference : 2013 Annual Financial Management Conference & Exposition
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One of the obvious developments in the delivery and financing of health care is the growing integration of payment and services. This General Session is a new addition to the Conference lineup, with the focus on the wide range of players in health care. The panelists will include leaders from the world of hospitals, skilled nursing facilities, assisted living facilities, physicians, and managed care. Each can be a partner or competitor with home care and hospice. Care and payment integration promises more success with partnership than competition for tightening health care dollars. The leaders from these respective health care sectors will share their view of the future of health care and where home care and hospice fit best.

Objectives: 1. Identify the health care delivery reforms underway in health care systems 2. Understand how health care systems and other provider sectors view home health care and hospice services 3. Recognize the opportunities available to home care in the integration of the health care spectrum

Moderator: John C. Richter, BA, Executive Principal, Clifton Larson Allen, Charlotte, NC

Panelists: Gary Bowers, JD, COO, CarePartners, Asheville, NC; Denise E. Collins, MBA, Executive Vice President, Holy Redeemer Health System, Huntingdon Valley, PA; Brian J. Osberg, BS, MPH, Program Director, Health Division, National Governors Association, Washington, DC; Michael Blackstone, MD, Founder/CEO, Suture Health, Inc., Birmingham, AL; George Taler, MD, Director, Long Term Care, MedStar Washington Hospital Center, Washington, DC

Session : NAHC1330
101: Future Directions: Evaluating and Executing a Palliative Care Strategy
Conference : 2013 Annual Financial Management Conference & Exposition
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Is palliative care in your strategic plan? This program will help you understand the complexities of the palliative care service and the opportunities that go along with it. It explores the financial feasibility of developing this service for your hospice program.

Objectives: 1. Describe the types of palliative care programs that operate today 2. Identify the services that are provided in a palliative care program and how palliative care is reimbursed 3. Recognize the issues involved in integrating palliative care with home health agency and hospice programs 4. Interpret how a community-based palliative care program integrates with a hospital palliative care program

Faculty: Bill Musick, BS, MBA, CHC, Consultant Projects Manager Senior Associate, The Corridor Group, Overland Park, KS; Diana Franchitto, MBA, President & CEO, Home Care & Hospice of New England, Providence, RI; and Robert Parker, RN, MSN Ed., CHPN, Program Manager, AseraCare Palliative Medicine, Austin, TX

Session : NAHC1331
102: Medicaid Home Care: Adjusting to the Changes Successfully
Conference : 2013 Annual Financial Management Conference & Exposition
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Medicaid home care is the largest publicly-funded home care program with over $40 billion in annual spending through state Medicaid programs across the country. It is also the most varied, with benefits available for children, adults, and the elderly including skilled care, high-tech supports, and personal care services. Medicaid is undergoing seismic changes nationwide with a combination of dramatic increases in Medicaid beneficiaries through the Affordable Care Act to wholesale delivery and financing reforms. Two of the biggest Medicaid changes affecting home care are the shift to Managed Long Term Services and Supports (MLTSS) and the implementation of demonstration programs that merge funding and care management of dual Medicare-Medicaid eligibles. With these changes, a Medicare home health agency may need to become a Medicaid provider as well. This program provides an overview of the states movement to Medicaid managed care and the issues presented therein. The program also focuses on strategies to turn these changes into home care opportunities as Medicaid seeks ways to control long-term care spending. In addition, the program addresses successful approaches to Medicaid pricing in managed care and systems for integrated care.

Objectives: 1. Identify the types of financing and care delivery reforms affecting Medicaid home care 2. Recognize the opportunities that Medicaid managed long term care presents to home care and how to maximize these opportunities 3. Manage in the development of pricing and service integration strategies in Medicaid managed care

Faculty: Michelle Martin, Steven Postal and Bob Creamer

Session : NAHC1332
103: The Affordable Care Act: Is Your Organization At Risk of the ACA Penalty Tax in 2014?
Conference : 2013 Annual Financial Management Conference & Exposition
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The Affordable Care Act includes an Employer Mandate that does not require employers to provide health insurance to employees, but does penalize many employers that do not. The ACA and its implementing regulations include complex and often confusing standards for determining whether an employer is subject to the mandates and how to calculate any financial penalties. This program provides an in-depth review of the ACA standards and detailed guidance on determining its impact on home care and hospice employers.

Objectives: 1. Identify when an employer is classified as a small employer and a large employer 2.Interpret how to calculate the number of full-time employees and full-time-equivalent employees for purposes of determining how the ACA will impact employers 3. Recognize the standards for small employers to qualify for a health insurance subsidy 4. Identify the steps necessary to use the safe harbor look-back method of determining which employees will be considered full-time in 2014 5. Describe how work hours are calculated for special employee types such as seasonal employees, new employees, part-time employees, and employees with ongoing varied work schedules

Faculty: William A. Dombi, Esq., Vice President for Law, National Association for Home Care & Hospice; Executive Director, Home Care & Hospice Financial Managers Association, Director, Center for Law, Washington, DC

Session : NAHC1334
201: Improving Your Hospice Services' Bottom Line: Cost Efficiency in Tighter Reimbursement
Conference : 2013 Annual Financial Management Conference & Exposition
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The program will discuss the challenges for hospice providers in maintaining stable and profitable operations while improving clinical outcomes. The understanding and use of key metrics to measure profitability for hospice will be discussed. This program will address the cost indicators that must be understood in making decisions of owning a general inpatient facility. This program will provide an overview of other specialty services provided by hospices such as pediatric hospice and palliative care programs.

Objectives: 1. Identify an optimum clinical model to improve efficiencies and productivity while improving clinical and financial outcomes 2. Recognize the costs and methods to achieve efficiencies in managing a hospice inpatient facility 3. Identify key metrics for hospice program success 4. List hospice fundraising opportunities

Faculty: Andrea L. Devoti, MSN, MBA, CHCE, President & CEO, Neighborhood Health, West Chester, PA; David Berman, CPA, CVA, Principal, Simione Healthcare Consultants, Hamden, CT

Session : NAHC1335
202: Home Health Care Costs: Finding Even More Efficiencies
Conference : 2013 Annual Financial Management Conference & Exposition
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Medicare home health payment rates for 2013 are virtually unchanged from 2012 rates. When considering the likelihood of a 2 percent sequestration for deficit reduction, the 2013 payments will fall well below 2012 levels. The outlook for 2014 is no brighter with rate rebasing combined with expected continuation of sequestration and coding creep adjustments. At the same time, costs continue to increase with new Medicare regulatory requirements, labor shortages, and modernization efforts in technology and delivery models. This means that home health agencies need to get even more creative to find ways to reduce costs. This program offers insights and ideas on successful ways to squeeze out even more efficiencies than you thought possible. Everything from back office costs to care utilization must be on the table for consideration.

Objectives: 1. Identify the factors that are increasing costs and reducing Medicare payments 2. Recognize methods to accurately calculate costs to deliver care and each element of costs 3. Select the best strategies for cost control and expanded efficiencies in back office staffing, clinical services, operational management, and technological support

Faculty: Walter Borginis, CPA, MBA, CFO, Executive Vice President-Finance & Administration, VNA of Greater Philadelphia, Philadelphia, PA; Joshua Sullivan, Budget Coordinator, BSBA, VNA of Greater Philadelphia, Philadelphia, PA; and Rob Simione, BS, CPA, Senior Consultant, Simione Healthcare Consultants, White Plains, NY