National Association for Home Care & Hospice

Session : NAHC1150
601: Hospice Boot Camp
Conference : 2011 Annual Financial Management Conference & Exposition
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Hospice Boot Camp is designed to deliver the skills and knowledge needed to manage hospice financial operations in this changing environment. Receive an overview of the financial aspects of the hospice industry, including discussion of national economic and policy changes, regulatory issues and revenue-enhancing str ategies that will impact hospice operations.

Topics to be addressed include: Discussion relating to health care reform and preparing for the changes. Provision of palliative care and its impact on hospice services. Review of general inpatient services, owned or leasing arrangements, respite and residential services. Discussion of financial accounting for all hospice services: bereavement, physician services, volunteers, therapies including music, massage, pet, liaisons or community representatives. Strategies for cost containment and other operational efficiencies. Strategies for revenue enhancement, including public education and marketing methodologies. Cost reporting for the future.

Objectives: Identify hospice financial management essentials. Understand crucial reimbursement and revenue strategies to achieve bottom-line success with hospice. Recognize health system dynamics that impact future opportunities for hospice and palliative care services. Identify issues of importance to CMS with intent to modify the cost report and the information captured and reported.

Faculty: Larry Leahy, CPA, CFO, Foundation Management Services Inc., Denton, TX; Donna Gouveia, CPA, CEO, Visiting Nurse Service of Greater Rhode Island, Lincoln, RI; Lisa Lapin, Principal, Simione Consultants, LLC, Hamden, CT;

Session : NAHC1151
701: Home Health Care Agency Financial Basics: For Rookies and Veterans Looking for a Refresher
Conference : 2011 Annual Financial Management Conference & Exposition
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Part I : Basic Financial and Operational Strategies for Home Health Agencies. New to the industry? Benefit from an understanding of the fundamental financial tools and operational strategies for developing and maintaining positive financial outcomes. Learn the minimum financial and statistical data that must be maintained and understood by management. Specific management and operational reports will be identified and analyzed. Expected financial outcomes will be analyzed anticipating Medicare payment changes. Participants will leave this session with information that will help them establish and monitor their agencys success. Objectives: Discuss the accounting, operational and statistical structure of a home health agency. Review revenue-recognition techniques for accurate reporting. Determine reports required for monitoring financial operations and the specific components used to calculate each indicator. Cite the expected capabilities of an agencys IT systems and internal/external data sources. Identify specific analysis procedures to understand and optimize financial operations. Faculty: Thomas Boyd, MBA, Boyd & Nicholas, Inc., Rohnert Park, CA;

Part II: The Medicare HHA Cost Report for Novices. The most vital and difficult filing document required by CMS is the Medicare HHA cost report. The why of the cost report will be discussed, but the emphasis is on the how to for small HHAs. This program is designed for attendees who are new to home health, want to improve their knowledge of the cost report or want to save time when preparing the report. It will address the basic structure, purpose and cost report package of documents. Objectives: Review and discuss the CMS cost report filing documents, along with CMS forms 1728-94 and 339. Discuss the purpose of the cost report and the filing process. Describe and discuss related documents: the PS&R, financial statements, work papers and more. Provide an overview of non-allowable costs. Discuss ways and means to save time when preparing the cost report. Faculty: Steve Peterschmidt, BS, Executive Director, Family Home Care, Colorado Springs, CO; Vern Peterschmidt, BS, President, Peterschmidt Health Care Management, Alburquerque, NM;

Part III: The Acronyms of Health Care. Get an overview of the government agencies, subcontractors and other health-care-related organizations that are important to the home health care business. Home health personnel new to Medicare need to understand what these organizations do and how it may relate to their business. Intended to give attendees a basic understanding of whos on first, whats on second and why in left field. Objectives: Discuss HHS, CMS, MAC, FI, OIG, GAO, MedPAC and their role in the Medicare world. Provide a brief discussion and description of RAC, RIC, ZIPC and HEAT. Identify other organizations and their relationship to the health care business world: senior organizations, unions, trade associations, accreditation and credentialing organizations. Faculty: Dave Macke, CPA, VonLehman & Company, Inc., Fort Mitchell, KY; Thomas Boyd, MBA, Boyd & Nicholas, Inc., Rohnert Park, CA;

Session : NAHC1152
801: Accountability Guaranteed ... a Technology-Driven, Community-Based Model for Home Care
Conference : 2011 Annual Financial Management Conference & Exposition
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Panel 1: The Road to Accountability: Where are we headed? This panel will highlight new care delivery models and new relationships between healthcare providers. Additional accountability and responsibility for clinical and financial outcomes will be crucial components of these new arrangements. Objectives: Preview the future of home health technology and relationships with Accountable Care Organizations (ACOs) and health information exchanges (HIEs). Discuss the emphasis of accountability for both clinical and financial outcomes. Explain the interconnection between technology and care transitions, payment bundling, and continuity of care. Moderator: Randall Moore, M.D., CEO, American Telecare, Inc., Eden Prairie, Minn. Panelists: Marcia Reissig, CEO, Sutter VNA & Hospice, Emeryville, CA; Stephen Landers, MD, Director, Cleveland Clinic Home Care, Independence, OH

Panel 2: The Road to Accountability: How do we get there? This panel will review the steps crucial to the collaboration between providers on the necessary technologies, as well as the processes for selection, implementation, and performance measurement. Objectives: Discuss the need to incorporate technology into care delivery models. Illustrate steps to identify, finance, and implement technology systems integral to cost accountability and care delivery. Identify examples of collaboration between home health agencies and other providers and payers. Moderator: Ellen Bolch, President & CEO, The Healthcare Alternative Group, Savannah, GA Panelists: Barbara McCann, Chief Clinical Officer/Integrity and Compliance Officer, Interim HealthCare, Sunrise, FL; Karen Thomas, MBA, President, Oxford Healthcare Home Health and Hospice, Springfield, MO

Panel 3: The Road to Accountability: Is technology available and is it real? Does it make financial sense? This panel will discuss real examples of technology-enabled care delivery models driving positive returns on investment. Objectives: Highlight real examples of care models that incorporate technology. Explore the positive return on investment criteria for different technology models. Moderator: Laurie Neander, CEO, At Home Care, Inc., Oneonta, NY Panelists: Cyndi Campbell, RN, BS, Fazzi Associates, Northampton, MA; Suzanne Sblendorio, Simione Consultants, Hamden, CT

Session : NAHC1153
900: Opening General Session - National Update
Conference : 2011 Annual Financial Management Conference & Exposition
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What is hot in Washington? Its another busy year for Congress and the federal agencies that regulate home care and hospice. From health care reform legislation repeal, revise and implementation efforts to new MedPAC recommendations to the start of health care innovations, 2011 is a mix of opportunities and challenges. An up-to-the-minute review of what is happening in the nations capital will be provided.

Objectives: Identify the national legislative issues facing home care and hospice. Review the current regulatory issues in home care and hospice. Recognize the role of home care and hospice in health care delivery innovations.

Faculty: Val J. Halamandaris, JD, President, National Association for Home Care & Hospice, Washington, DC, and 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 Health Care Law, Washington, D.C.

Session : NAHC1154
901: General Session - HHFMA Leadership Panel
Conference : 2011 Annual Financial Management Conference & Exposition
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Join us for the HHFMA Leadership Panel, a highlight of the Financial Management Conference. Home care and hospice providers are under constant pressure from Congress, CMS, MedPAC, Medicaid and other payer initiatives to restrict service and compress margins. Yet home care and hospice will continue to bring value and quality to the health care delivery system and its patients. The dynamics created by the new health reform legislation such as ACO, bundling, and the home medical model combined with the exploding Medicare and Medicaid populations and technological advances will change the face of home care and hospice. The esteemed panelists, representing a wide range of interests in home care and hospice, will offer their five, 10 and 15 year vision into the future of the health care delivery system and the role home care and hospice providers will play.

Objectives: Identify the drivers that will transform the health care delivery model of today into the system of the future. Describe the opportunities for home care and hospice to have a commanding role in the new system. Discuss the organizational, technological and clinical strategies needed for home care and hospice to be a player in this new future environment.

Moderator: TBA Panelists: TBA

Session : NAHC1155
101: Accountable Care Organizations: Getting a Seat at the Table
Conference : 2011 Annual Financial Management Conference & Exposition
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The Patient Protection and Affordable Care Act of 2010 promises to trigger many reforms in the delivery of health care. One that is red hot is the concept known as an accountable care organization (ACO). The Centers for Medicare & Medicaid Services is in the process of developing criteria and standards for an entity to qualify as an ACO with the expectation that a shared savings care management program using ACOs will be underway in the very near future. Across the country, health care organizations are developing ACOs to take advantage of this new opportunity. Will home health care be a partner in these ventures or outside looking in? Learn how home health agencies and hospices can take on a significant role in the formation and operation of ACOs.

Objectives: Identify what it takes to get to the table in the ACO discussions. Recognize the need to give evidence-based justifications for including your agency at the ACO table. Understand the options for home care in an ACO model from partner to participant to vendor.

Faculty: Chris Attaya, CFO, Visiting Nurse Association of Boston, Charlestown, MA; Marcia Ressig, CEO, Sutter VNA and Hospice, Fairfield, CA;

Session : NAHC1156
102: Hospice Payment Reform: A Look into the Future
Conference : 2011 Annual Financial Management Conference & Exposition
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By October 2013, hospices could see major changes in their financial bottom lines as the current thinking on payment reform becomes a reality. While payment reform plans take shape, the best defense is a good offense one that includes a close review of what you are spending, when you are spending and what Medicare is paying for. MedPAC has recommended realignment of hospice payments and noted that a U-shaped model, one under which payments for care are higher at the beginning and end of a length of stay than payments for care in the middle, would more accurately reflect hospices costs. The NAHC Hospice Advisory Board, in conjunction with the HHFMA Hospice Reimbursement Task Force, has conducted a study analyzing a small group of hospices spending using a U-shaped model to project the potential impact of payment reform. Hear the results of the study from some of the participants and get guidance on how best to prepare your hospice for the coming financial changes.

Objectives: Identify the areas of hospice payment likely to undergo change with modifications to the payment system. Identify areas of potential financial risk under hospice payment reform. Analyze the potential impact of payment reform on the operations and finances of an individual hospice.

Faculty: Robert Simione, Managing Principal, Simione Consultants, LLC, Hamden, CT; Theresa Forster, Vice President of Hospice Policies and Programs, National Association for Home Care & Hospice, Washington, DC;

Session : NAHC1157
103: Key Issues in Home Health Compliance
Conference : 2011 Annual Financial Management Conference & Exposition
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Medicare is using compliance enforcement as a tool to disallow payments and weed out providers. There is a major focus on claims, with the enactment of multiple technical requirements that are conditions of payment, and increased auditing to look for non-compliant documentation. MACs, ZPICs and RACs have the potential to become home health care nightmares. Find out the risks lurking in this new age of compliance enforcement and how you can address them.

Objectives: Identify major claims compliance risks. Describe actions to address claims denial risks. Detail actions to respond to claims denials.

Faculty: William Dombi, Vice President for Law, National Association for Home Care & Hospice, Washington, DC; Denise Bonn, Esq., Deputy Director of Center for Health Care Law, National Association for Home Care & Hospice, Washington, DC; Karen Bommelje, Manager, Simione Consultants, LLC, Westborough, MA;

Session : NAHC1158
201: Joint Ventures and Acute Transitions
Conference : 2011 Annual Financial Management Conference & Exposition
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Health care reform now calls for a pilot project, which will likely include home health and hospice, to test bundling of payments for post-acute providers. Hospitals are facing financial penalties for the high incidence of readmissions. And ACOs will share in the overall savings in Medicare spending that can be achieved through improved patient management. For these reasons and more, acute care providers will be very eager to form new and/or closer relationships with home health and hospice providers. Examine opportunities for home care and hospice to create fresh sources of revenue by forming joint ventures with acute care providers.

Objectives: Identify the elements of a plan for formulating a joint venture with an acute care provider. Learn what acute-care providers want from different scenarios of a joint venture relationship. Recognize the advantages and disadvantages of the various possible types of joint ventures.

Moderator: Paul Giles, Director of Home Care Finance, Catholic Healthcare West, Yorba Linda, CA Panelists: Denise Bonn, Esq, Deputy Director of Center for Health Care Law, National Association for Home Care & Hospice, Washington, DC; Peggy Sanborn, Senior Director of Strategic Growth, Catholic Healthcare West, Yorba Linda, CA; Steven Landers, MD, Director, Cleveland Clinic Home Care, Independence, OH; Chad Creech, COO, Alternate Solutions Homecare, Kettering, OH;

Session : NAHC1159
202: Palliative Care Program: Is this right move for your hospice?
Conference : 2011 Annual Financial Management Conference & Exposition
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Do you think about starting a palliative care program? As you move forward, it is important to truly understand the benefits of a successful program. Learn not only the key elements needed to establish and build a flourishing program but also the key matrix needed to monitor the success of a palliative care program in your organization.

Objectives: Identify the appropriate palliative care model. Explore potential reimbursement options. Navigate the basic regulatory issues relating to palliative care programs. Establish indicator reports needed for management to make key business decisions.

Faculty: TBA