Webinar

Under Pressure - OASIS Service Utilization Review

4/6/2017 12:00 PM - 1:15 PM Eastern Standard Time

Presenter: Diane Link, RN, MHA Senior Clinical Consultant, BlackTree Healthcare Consulting

CMS is placing cost before quality in the home health industry, requiring home health agencies to compete against each other for outcomes, desirable cost of care metrics, and a place at the table in the future.  Agencies, who are able to generate outcomes, and reduce costs, will become a viable and valued partner to ACO’s, Managed care organizations, etc.  Agencies must discharge patients in a predictable manner while staying profitable, or fail to achieve the holy grail of reduced costs and increased outcomes.

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When: 4/6/2017

Time: 12:00 PM EST

Duration: 01:15:00 minutes

Cost: $59.00 per person

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Description

Regardless of political affiliation and personal philosophy, the state national healthcare payment reform is flux and uncertainty. HOWEVER, one thing is certain – and that is that Quality, Coordination and Value are going to be tied to reimbursement models regardless of any legislation or restructuring.

CMS is placing cost before quality in the home health industry, requiring home health agencies to compete against each other for outcomes, desirable cost of care metrics, and a place at the table in the future. Agencies who are able to generate outcomes, and reduce costs, will become a viable and valued partner to ACOs, Managed Care organizations, etc. Providers of care must discharge patients in a predictable manner while staying profitable, or fail to achieve the holy grail of reduced costs and increased outcomes.

When MedPac has their way starting in 2018, agencies will say farewell to Recertifications as they now know them; and the 6-, 14-, and 20-day Therapy visit payments thresholds as well. MedPac also continues to pepper congress with its second proposed payment model (HHGM),  where episodes are brought from 60 days to 30 days, and payment groups are reduced from 153 to 128.

To succeed, you're required to abandon the “Norms” of the past twenty years without destroying the structure and function of your agency. Michael McGowan, CEO of Opera Care, will deliver a powerful and eye-opening education session to help you fully understand what is happening with Service Utilization Review and how you can set your agency up for success.

This informative webinar will:

  • Outline key components of Service Utilization Review
  • Explain why most agencies are focusing on the wrong elements
  • Identify processes that agencies can implement now
  • Review key technologies that will augment this effort

 

About the Educator: Michael McGowan is one of the premier experts in the Home Health industry relative to OASIS.  Michael was formerly the OASIS Coordinator for the state of California, started Medicare Appeals Development, and now has launched OPERACARE - a new solution to enable Home Health agencies to prepare for audits.  Michael specializes in:  Focused Medical Review, Post Payment Reviews, Pre-Payment Reviews, Probe Edits, and Appeals Development. 

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