National Association for Home Care & Hospice

Session : NAHC1228
601: Hospice Boot Camp
Conference : 2012 Annual Financial Management Conference & Exposition
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This Program provides an overview of the financial aspects of the hospice industry, including discussion of national economic and policy changes that will affect hospice operations, regulatory issues, and revenue-enhancing strategies. The Hospice Boot Camp is designed specifically for professionals seeking to acquire the skills and knowledge needed to manage hospice financial operations in this changing environment. Session topics include: Discussion relating to hospice payment reform and preparing for the changes Provision of palliative care services and their impact on hospice services Discussion of general inpatient care, owned or leasing arrangements, respite and residential services Discussion of financial accounting for all hospice services, including bereavement, physician services, volunteers, therapies ( such as 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: 1. Identify hospice financial management essentials. 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 www.nahc.org/Meetings/FM/12 4. An understanding of the issues of importance to CMS with intent to modify the cost report and the information captured and reported.

Speakers: Donna Govueia; Larry Leahy; Lisa Lapin

Session : NAHC1229
701: Home Health Financial Basics
Conference : 2012 Annual Financial Management Conference & Exposition
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A. Basic Financial and Operational Strategies for Home Health Agencies Home health personnel new to the industry, new agencies, and established agencies will benefit from an understanding of the fundamental financial tools and operational strategies for developing and maintaining positive financial outcomes. This session identifies the minimum financial and statistical data that management must maintain and understand. Specific management and operational reports will be identified and analyzed. Expected financial outcomes will be identified for the successful agency, taking into account the anticipated Medicare payment changes. Participants will leave this session with information that will help them establish and monitor their agencys success. Objectives: 1. Discuss accounting, operational and statistical structures for home health agencies. 2. Review revenue recognition techniques for accurate reporting. 3. Identify reports required for monitoring financial operations and the specific components used to calculate each indicator. 4. Cite the expected capabilities of an agencys IT systems and internal/external data sources. 5. Identify specific analysis procedures for understanding and optimizing financial operations.

B. The Medicare HHA Cost Report for Novices This pre-conference Program will provide an understanding of one of the most vital and difficult CMS-required filing documents, the Medicare HHA cost report. The 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 in the preparation of the cost report. The Program will demonstrate to participants the basic structure, purpose, and the cost report package of documents. The why of the cost report will be discussed, but the emphasis is on the how to for the small HHA and personnel new to home health care. Objectives: 1. Review and discuss the CMS cost report filing documents: CMS forms 1728-94 and 339. 2. Discuss the purpose of the cost report and the filing process. 3. Describe and discuss related documents: the PS&R, financial statements, work papers, and more. 4. Review non-allowable costs. 5. Discuss ways and means to save time in the preparation of the cost report.

C. Understanding the Regulator y Structure of Health Care This Program provides an overview of the government agencies, government subcontractors and other health care-related organizations that are important to the home health care business. Home health personnel who are new to Medicare need to understand the purpose of these organizations and how it may relate to the company where they work. Attendees should leave with a basic understanding of whos on first, whats on second, and why in left field. Objectives: 1. Discuss DHHS, CMS, MAC, FI, OIG, GAO, Med PAC and their role in the Medicare world. 2. A brief discussion and identification of RAC, ZIPC and HEAT. 3. Identify other organizations senior groups, unions, trade associations, accreditation and credentialing organizations and their role in the business of health care.

Faculty: Thomas Boyd, MBA, Principal, Boyd & Nicholas, Inc., Rohnert Park, CA; Dave Macke, CPA, VonLehman & Company, Inc., Fort Mitchell, KY; Vern Peterschmidt, President, Peterschmidt Health Care Management, Alburquerque, NM; Steve Peterschmidt, BS, Owner, Peterschmidt Health Care Management, Albuquerque, NM

Speakers: Tom Boyd; Dave Macke; Vern Peterschmidt; Steve Peterschmidt

Session : NAHC1230
900: National Update
Conference : 2012 Annual Financial Management Conference & Exposition
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Session : NAHC1231
901: HHFMA Leadership Panel
Conference : 2012 Annual Financial Management Conference & Exposition
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$15.00

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 in the future of the health care delivery system and the role home care and hospice providers will play.

Objectives: 1. Identify the drivers that will transform the health care delivery model of today into the system of the f uture. 2. Describe the opportunities for home care and hospice to have a commanding role in the new system. 3. Discuss the organizational, technological and clinical strategies needed for home care and hospice to be a player in this new future environment.

Session : NAHC1232
101: Strategies for Managing Margins
Conference : 2012 Annual Financial Management Conference & Exposition
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In light of the potential Medicare and Medicaid reimbursement cuts, it has become imperative that home health agencies manage their gross and net operating profit margins. Agencies need to identify and develop tools to analyze their margins and ensure that they are following best practices. Home health agencies sometimes face the question, Why am I not meeting my budget? This session provides an analytical approach to assist agencies in finding an answer and getting back on track by using best practices. In addition, it will teach participants how to develop and monitor a cash flow plan based on their budget.

Objectives: 1. Identify the process for determining revenue and cost that directly affect an agencys gross and net operating margin and developing a plan to get them back on track as compared to budget. 2. List the key performance indicators that impact the organizations financial performance. 3. Describe the process of preparing and monitoring an organizations cash flow.

Speakers: David Berman; Andrea Devoti

Session : NAHC1233
102: Evaluating the Provision of In-Patient Hospice Care
Conference : 2012 Annual Financial Management Conference & Exposition
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This session provides a practical overview of the factors to be considered when deciding whether to build a new facility or renovate an existing one for the provision of general inpatient services. Other options will be explored to achieve the same results. Budgeting for capital needs and return on investment strategies will also be presented.

Objectives: 1. Identify the factors to evaluate when deciding whether to build a general in-patient unit. 2. Compare the pros and cons of building versus contracting for in-patient services. 3. Discuss options for accessing capital when determining feasibility.

Speakers: Bill Musik; Walt Borginis

Session : NAHC1234
103: Role of Hospice & Home Care in a Reformed Care Delivery System: ACOs, Bundling , Transitions in Care, and More
Conference : 2012 Annual Financial Management Conference & Exposition
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The way we deliver health care is changing fast and going in the direction of home care and hospice. This timely Program addresses the threshold question of how your organization should play a part in a new arena that includes accountable care organizations, bundling of post-acute care, and integrated transitions in care. Should you be a partner with other health care sectors, assuming some of the financial risk for the success or failure of the endeavor? Should you choose instead to be an active participant or possibly a vendor to an integrated health delivery model? Part of the process for determining your place is measuring your organization and its capabilities, as well as measuring the community of health care from which you operate. The future is now.

Objectives: 1. Identify opportunities for integrating home and community-based services and hospice care into emerging health care delivery models. 2. Describe relevant factors for evaluating an organizations role in a new health care delivery model. 3. Explain the pros and cons of participating from the inside versus the outside of the delivery model.

Speakers: William Dombi; Donna Deblois; Ellen Bolch; Joe Calcutt; Patty Upham

Session : NAHC1235
104: Maximizing the Business Value of Information Technology in Home Care & Hospice
Conference : 2012 Annual Financial Management Conference & Exposition
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Health care technology provides the key to becoming the highperforming efficient organization you aspire to be. But how do you maneuver through the available solutions and determine which technology to acquire? Do you fully understand the best practices for selecting and deploying new technology and measuring the value gained once your new solutions are in place? This session will provide the fundamental roadmap for selecting and adopting processes that will maximize the intended business value of technology. Included topics: Defining technology requirements and goals Technology selection process and RFP development Contracts and agreements Key Metrics in establishing ROI Internal and external messaging to key stakeholders Best practice implementation considerations Measuring efficiencies gained and end-user adoption Ongoing evaluation and troubleshooting

Objectives: 1. Identify steps needed to determine what technology is needed in your organization. 2. Describe the crucial factors in evaluating a return on investment. 3. Identify the process for ongoing evaluation of the use and benefits of acquired technology.

Speaker: Suzanne Splendoria

Session : NAHC1236
201: Accountability: Metric Standards for Finance and Operations Within and Across the Continuum
Conference : 2012 Annual Financial Management Conference & Exposition
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The central feature of this Program is to provide updates on key industry metrics, including: Distribution by type of episode (standard, , outlier) and by number of therapy visits. Reimbursement, visits, costs, and margin by type of episode and number of therapy visits. Profitability by different types of patient (based on diagnosis and other clinical or demographic factors). Observations of similarities and differences between different types of providers (based on location, size, and other characteristics). The Program also focuses on insights into broader cross-continuum issues, as they relate to home care, and examines the factors that drive decisions in other provider organizations. All of the data and information is translated into practical advice specifically geared to home health financial leaders.

Objectives: 1. Identify key benchmarks for Medicare home health services. 2. Recognize variations in metrics as applied, based on provider type, location, and size. 3. Identify interrelationship of home health with other health care sectors in the continuum of care.

Speakers: Mark Sharp; Sue Squibb

Session : NAHC1237
202: Preparing for Hospice Payment Changes in Medicare
Conference : 2012 Annual Financial Management Conference & Exposition
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The phase-out of the budget neutrality adjustment factor (BNAF) and payment reductions enacted under the Affordable Care Act of 2010 have hospices scrambling to ensure financial stability. Congress may take additional steps during 2012 that could further affect hospice financial health. At the same time, changes to the hospice payment system that could be in place as early as October 2013 demand that hospices thoroughly examine their operations and prepare for a major shift in payment incentives. Its time for all hospices to move beyond theory and into action. This session will gather experienced hospice panelists to discuss what hospice programs can be doing to prepare their programs for the coming transformation of Medicare hospice.

Objectives: 1. Discuss the scheduled hospice payment cuts and what is known (and not known) about anticipated hospice payment changes. 2. Examine hospice operational and financial data to determine potential areas of risk in payment reform. 3. Define the next steps for adapting hospice practices to anticipate payment reform.

Speakers: Robert Simione; Donna Gouveia; Jane Feinman; Angie Hollis-Sells; Anne Hochsprung