Hot Issues Conference

October 17, 2018 | San Antonio, Texas

MEDICARE  track
[Continuing Education: 6.5 clock hours Administrator/Alternate;  6.5 contact hours continuing education for nurses]

Tuesday, October 16
5:30pm-7:00pm  |  Happy Hour at the historic Bar 414, Sheraton Gunter Hotel. Join us to kick off the event and mingle with your industry peers!

Wednesday, October 17
7:30am  |  Registration Opens

8:30am-10:30am
1a. Essentials of Therapy Documentation
This session will discuss the aspects of therapy documentation to include initial assessment, medical necessity and medical review denials; along with guidance on how to avoid these denials. Physical therapy, Occupational therapy and Speech Language Pathology will be included.
Speakers: Charles Canaan, Senior Provider Education Consultant, Palmetto GBA
CE's: 2.00 clock hours continuing education for Administrators/Alternates, 2.00 Continuing Nursing Education contact hours

10:45am-12:00pm
1b. Targeted Probe & Educate Process
This session will discuss the CMS directed Targeted Probe & Educate process, documentation expectations, responding to medical review calls for additional easily curable documentation, and what providers need to know when responding to an Additional Documentation Request (ADR). Brief documentation examples will be provided, as well as guidance regarding submission of the medical record for claims selected.
Speakers: Marilyn Jeske, Senior Provider Relations Representative, Provider Outreach and Education, Palmetto GBA
CE's: 1.25 clock hours continuing education for Administrators/Alternates, 1.25 Continuing Nursing Education contact hours

12:00pm-1:00pm  |  Lunch (included in registration)

1:00pm-2:45pm
1c. Preparing for and Surviving PDGM, VBP, and RCD: The New Framework for Success
There have been tremendous changes in home health care in the last 5 years. Those who have made changes in their care models and processes are staying profitable. Those that continue the legacy practices of the last 15-20 years are struggling. With the passage of the IMPACT ACT in 2014, the home health industry started down a path of value based reimbursement, joining the other providers in the health care continuum.
In this session, we will learn about the top mistakes Home Health Agencies are making in this climate of change and understand how management’s role is becoming more crucial in home health.
We will also review the old metrics for success under PPS and crosswalk your HHA to the new measures of success for PDGM/ VPB. Come learn how to, not only survive, but grow and maintain profitability by embracing PDGM and understanding this new value-based payment model now.
Speakers: Kristi Bajer, BSN, RN, OperaCare LLC; Michael McGowan, President and Founder, OperaCare LLC
CE's: 1.75 clock hours continuing education for Administrators/Alternates, 1.75 Continuing Nursing Education contact hours

3:00pm-4:30pm
1d. Change Management – How to Facilitate Change in Your Home Health Agency
Most home health owners and administrators would say change is nothing new in our industry. However, few are prepared for the vast amount of changes being implemented due to the IMPACT ACT passed in 2014. Within the context of PDGM, organizational change is imperative for survival. TAHC&H is here to ensure you have the tools to make the changes necessary, so don’t miss this opportunity to learn from experts who are helping agencies across the nation make these changes. In this season you will learn;
- Why organizational change is so hard?
- How to overcome change resistance
- What type of leadership is needed for change to be successful?
- How personality type affects the response to change
- A review of popular change models
Speakers: Kristi Bajer, BSN, RN, OperaCare LLC; Michael McGowan, President and Founder, OperaCare LLC
CE's: 1.5 clock hours continuing education for Administrators/Alternates, 1.5 Continuing Nursing Education contact hours

COMMUNITY CARE  track
[Continuing Education: 6.5 clock hours Administrator/Alternate;  1.5 contact hours continuing education for nurses]

Tuesday, October 16
5:30pm-7:00pm  |  Happy Hour at the historic Bar 414, Sheraton Gunter Hotel. Join us to kick off the event and mingle with your industry peers!

Wednesday, October 17
7:30am  |  Registration Opens

8:30am-10:30am
2a. Electronic Visit Verification (EVV) Updates - Part 1
Join us for a presentation on EVV updates on policies, procedures, and vendor transition.
Speakers:Alesia Brown, EVV Operations Manager, Claims Management Division, Medicaid and CHIP Services, Texas Health and Human Services; Laurie Rios, MSW, CTCM, EVV Program Manager, Operations, Medicaid and CHIP Services, Texas Health and Human Services
CE's: 2.00 clock hours continuing education for Administrators/Alternates

10:45am-12:00pm
2b. Electronic Visit Verification (EVV) Updates - Part 2
HHSC EVV Operations will present information on Cures Act implementation and timeline. This session will also include a round table with Managed Care Organizations.
Speakers:
Alesia Brown, EVV Operations Manager, Claims Management Division, Medicaid and CHIP Services, Texas Health and Human Services; Laurie Rios, MSW, CTCM, EVV Program Manager, Operations, Medicaid and CHIP Services, Texas Health and Human Services
CE's: 1.25 clock hours continuing education for Administrators/Alternates

12:00pm-1:00pm  |  Lunch (included in registration)

1:00pm-2:45pm
2c. Recommendations from the OIG Inspections Division Report of Electronic Visit Verification (EVV) System
The EVV system was designed to deter fraud, waste, and abuse in personal care services in Texas Medicaid. Those services, performed by home health attendants who are not required to be licensed or certified, are provided in client homes to assist vulnerable, medically fragile clients to continue to live in the community. The OIG conducted this inspection of EVV to determine how effective the EVV system is at verifying that home service visits for Medicaid clients occurred and at confirming that home services were provided. Join us for a discussion of this OIG Inspections Division Report of Electronic Visit Verification. Deputy Inspector General Arnold will analyze the EVV Report and discuss the rationale behind it as well as recommendations for providers.
Speakers: Quinton Arnold, Deputy Inspector General, Office of Inspector General, Texas Health and Human Services
CE's: 1.75 clock hours continuing education for Administrators/Alternates

3:00pm-4:30pm
2d. Fraud, Waste and Abuse: Future strategies and Initiatives
The scope of reviews initiated by the Inspector General can range from systemic analyses, to in-depth evaluations searching for specific examples of Fraud, Waste, or Abuse (FWA). This presentation will examine the current Investigations, Audits, Inspections, and review processes conducted by the IG, and will also include a discussion of future strategies and initiatives.
Speakers: Quinton Arnold, Deputy Inspector General, Office of Inspector General, Texas Health and Human Services
CE's: 1.5 clock hours continuing education for Administrators/Alternates, 1.5 Continuing Nursing Education contact hours




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COST
$200 [members]
$350 [nonmembers]
*Prices increase on 10/11/18

LOCATION
Sheraton Gunter Hotel
205 E Houston Street
San Antonio, TX 78205
(210) 227-3241
Group room rate: $159 single/double
Group cut-off date: October 5, 2018
Reserve Online


Cancellation Policy
If you must cancel your reservation for any reason, notify TAHC&H, Attn: Jessica Campbell via fax or email (jessica@tahch.org). A 90% refund will be given if written request is received by 10/10/18. A 50% refund will be given if a written request is received 10/11/18 - 10/16/18. No refund will be made the day of the conference or after.