Hotel Accommodations:

Caesar’s Atlantic City, 2100 Pacific Avenue, Atlantic City, NJ 08401

https://book.passkey.com/go/SC06HC8

Hotel rooms can be booked at CAESAR’S ATLANTIC CITY for the special Home Care & Hospice Association of NJ room rate of

$89.00 per room per night, plus all applicable taxes and fees. This rate is available for the nights of June 6 and June 7, 2018. Res-

ervations will be accepted on a first-come first-served basis. Call (888) 516-2215 to make reservations. Please reference group

code SC06HC8. The deadline to receive this special room rate is May 18, 2018

Home Care

& Hospice:

A Winning Hand!

2018 Annual Conference & Exhibition

June 7 & 8 – Caesar’s Atlantic City

Register online at

www.homecarenj.org

SCHEDULE

THURSDAY, JUNE 7

7:30-8:15 a.m. – CONFERENCE REGISTRATION & BREAKFAST WITH EXHIBITORS

8:15-8:30 a.m. – WELCOME & OPENING REMARKS

Nancy Fetterer, President & CEO, Home Care & Hospice Association of NJ

8:30-9:15 a.m. – KEYNOTE ADDRESS

William A. Dombi, Esq., President, National Association for Home Care

& Hospice

9:30-10:30 a.m. – CONCURRENT BREAKOUT SESSIONS

Real Performance Improvement Ron Paul Ross, Ron Paul Ross Consulting / Track: Clinical In the world of tight margins, diminishing reimbursement rates and careful scrutiny of outcomes, home care and hospice agencies must carefully decide how to deploy limited resources to squeeze the best performance out of stressed, and often over-

worked, office and field employees. In this session, leaders will get a look at promising research info per-formance improvement practices so they can make great decisions on training and professional develop-ment investments. Selling or Merging Your Home Health Agency, Hospice or Health Care Service Firm Glenn Prives, McElroy, Deutsch, Mulvaney & Carpenter, LLP / Track: Financial/Legal Consolidation continues to increase in home health and hospice in an era of declining reimbursement. This presentation will walk professionals through the sale and merge process. Negotiating tips, deal pitfalls and regulatory issues

will be thoroughly examined and discussed. The objective is to demystify and breakdown the health care deal process. The FY2019 Hospice Wage Index Katie Wehri, Healthcare Provider Solutions / Track: Hospice Each year, the hospice wage index mandates innovation on the hospice community, largely prescribed by financial constraints of federal spending. This session will discuss at length the recently-released FY2019 Hospice Wage Index and its likely impact on hospices if its proposals are eventually adopted. Telehealth in the Home Health Space: Lessons Learned Rich Curry, Health Recovery Solutions / Track: Management

Agencies have used telehealth for over 30 years now and are leveraging new technology to reduce their total costs of care, skilled nursing visits, increase referrals and decrease hospital readmission and ER rates for chronic disease patients. This session will discuss how some New Jersey agencies, hospitals and ACOs have achieved dramatic reduction in readmissions and share some lessons learned from working with 60+ HHAs. Our conversation will discuss the foundation for successful telehealth programs, what the organiza-tional structure for telehealth looks like and how to manage and grow a telehealth program.

10:30-11:00 a.m. – MORNING COFFEE BREAK WITH EXHIBITORS

11:15 a.m.-12:15 p.m. – CONCURRENT BREAKOUT SESSIONS

Optimizing Revenue Cycle Management in Today’s Managed Care Environment Phil Feldman, Sandata Technologies / Track: Financial/Legal Providers continue to struggle with MCO reimbursement. Thin margins in our industry magnify the im-pact of this. Provider leadership, faced with a myriad of issues that draw upon their time and attention, need an efficient and effective vehicle to focus on the areas of their revenue cycle which could be im-proved in order to maximize collections performance. Attendees of this presentation will learn how to target under-performing areas of revenue cycle through the use of metrics as an efficient and effective means of improving revenue and cash flow.

CJR--What We’ve Learned Jeffrey Sommer, VNA Health Group / Track: Clinical This program will explore why CMS launched an orthopedic bundle model and describe the five-year Com-prehensive Care for Joint Replacement (CJR) program. We will discuss how evidence-based changes in treatment impacted this population compared to routine home health treatment. We will review out-comes and data collected since the CJR program began in 2016, discuss stakeholder involvement to collab-orate care, demonstrate how internal and external data drive changes to our treatment model and explore the challenges home health in the final years of the CJR program.

Caring for Patients with Advanced Illness: A Palliative Care Update Dr. Marianne H. Holler, VNA Health Group / Track: Hospice Caring for patients with advanced illness is like learning a new language. We are taught as clinicians that if a patient has “A” we should do “B.” This lecture will present ways to explore the new paradigm: the patient has “A” — so what is the goal? What inter-vention will or will not help us achieve that goal? Why MedPAC Thinks Home Health is Paid Too Much Kimberly McCormick, Home Health Strategic Management, and Arnie Cisneros, Home Health Strategic Management / Track: Management MedPAC and CMS have long believed that home health providers are overpaid, and this belief has been the basis of many recent or proposed reforms including HHGM. This progressive presentation identifies areas of the HHPPS Model where costs don’t align with the current MedPAC home care goals. In addition, HH protocols are identified to resolve these issues while preparing for HHGM and other reforms. Case studies are employed to demonstrate how providers are employing utilization review to gain care control while increasing clinical scores (five-star) and fiscal margins (<25%).

12:30-2:00 p.m. - ANNUAL AWARDS LUNCHEON & ASSOCIATION ANNUAL REPORT Carol Kientz and Martha Esposito Annual Awards Presentations

2:15-3:15 p.m. – CONCURRENT BREAKOUT SESSIONS Management of Less Common but Troubling Symptoms in Hospice and Pallia-tive Care: Pruritus, Hiccups, Cough and Bladder Spasms Marisa Todd, Enclara Pharmacia / Track: Hospice Symptom management education frequently focuses on pain, dyspnea, anxiety,

delirium and other common symptoms. There are, however, many other symptoms that, while not as commonly encountered, are difficult for patients and challenging to manage.

Targeted Probe & Educate - What We’ve Learned So Far Katie Wehri, Healthcare Provider Solutions / Track: Clinical CMS's Targeted Probe and Educate (TPE) program is designed to help providers and suppliers reduce claim denials and appeals through one-on-one help. This recent program innovation is meant to cor-rect individual and repeated errors in claims. The session will discuss what home health and hospice agencies have learned in this earliest phase of program implementation.

Healthcare Emergency Preparedness Brendan McCluskey, Director, Emergency Management, and Dana Johnson, Deputy Director, Community Preparedness Bureau, both of New Jersey Department of Health / Track: Management This breakout will explore: the concepts and principles of emergency management, including how they ap-ply in the healthcare and public health sector; the concept of healthcare coalitions and how New Jersey has implemented them; basics of the CMS Emergency Preparedness Rule; and how home care and hospice pro-viders might help the overall emergency management system in New Jersey.

Managing Legal Risks in Securing Patient Referrals William A. Dombi, Esq., President, National Association for Home Care & Hospice / Track: Financial/Legal Getting business in health care is much different than most other business. Among the reasons is a myriad

of legal restrictions, particularly, the federal antikickback laws and the so-called Stark law. This program focuses on how to market your organization for referrals without crossing the legal lines. Huge financial penalties and jail time are not good ingredients for business success.

3:30-4:30 p.m. – CONCURRENT BREAKOUT SESSIONS

Hot Topics in Medicaid Managed Care Track: Management Welcome to the fourth annual managed care organization panel presentation! The State’s five MCOs discuss topics of concern to providers, recent innovations and where managed care may be going.

New Jersey Employment Law Update

Christopher Mayer, McCarter & English, L.L.P. / Track: Financial/Legal

This session will provide an update on new laws in New Jersey that impact employers, including the New Jersey Pay Equity Act, which has an effective date of July 1, 2018. Mr. Mayer will discuss how the Act will affect employers and provide practical tips for compliance.

Palliative Care: Bridging the Gap in the Community

Dr. Rashmi Kaura, Overlook Medical Center / Track: Hospice

Patients and families have access to quality home care and hospice care; however, without a bridge between these services, many are left with no alternative choice than to return to hospitals at times of

crisis. Palliative care attempts to bridge this gap, providing symptom management, prognostic information and support in decision making. Most palliative care expertise is located in hospitals, however, there is a trend to expand accessibility to the community through office and home-based services. Success depends on close collaboration with existing home and hospice care, resulting in timely referrals and high value medical care in the community.

Home Health Groupings Model Nick Seabrook, BlackTree Healthcare Consulting / Track: Clinical The Home Health Groupings Model (HHGM) introduced in last year’s proposed home health rule repre-sented the most significant change to home health’s reimbursement model since the inception of PPS in 2000. Although HHGM was not included in last year’s final rule, the Bipartisan Budget Act signed into law earlier this year calls for a new payment model to go into effect in 2020. While details have yet to be determined, it is expected that the key concepts of the previous HHGM proposal will be the foundation of this reform. This presentation will provide an overview of HHGM, including the structure, concepts and reasons behind the recommended changes.

4:30-5:00 p.m. – REFRESHMENT BREAK WITH EXHIBITORS

5:15-6:15 p.m. – CONCURRENT BREAKOUT SESSIONS

Integrating Healthcare Providers to Create a Successful Discharge while Reducing Readmissions Steve “The Hurricane” Weiss, Hurricane Marketing Enterprises / Track: Clinical Learn how to build strategic partnerships with complementary healthcare providers to drive business, im-prove quality of care, quality of life and overall outcomes. By understanding your readmission rate, master the art of collaborating with your team of providers to gain multi-provider referrals and lower potential Medicare penalties. Learn how to strengthen your services by incorporating a healthcare team to supple-ment your part in a discharge. Understanding your readmission rates will allow you to leverage value at referral sources driving revenue.

Conquering the ADR Dilemma Ginny Kenyon and Shelly Barrett, both of Kenyon HomeCare Consulting / Track: Management ADRs are the bane of every home health administrator’s and manager’s existence. They take a lot of time to create the response and frequently important areas are not clearly covered and claims get denied. Then there is the time to respond to the denials. If the denials are upheld the agency will receive more ADRs in the next four-day cycle. This presentation will clearly explain why the ADRs are coming and how to deal with them in an organized way that covers all the essentials. A checklist for response will be provided to all who attend. We will also cover how to challenge denials and win. Medicare Revenue Cycle Management – Eliminate Fraud and Abuse and Ensure Accountability Amy Fulton, FGA Inc. / Track: Financial/Legal This session will address: CMS Ensuring Accountability of CoPs (OASIS on file prior to

processing finals, and a trick to resubmit claims in RTP); Refining Edits (suppression of RAP Reimbursement); Eliminating Fraud and Abuse (2017 Work Plan, common characteristics of HH Fraud and Abuse and how to improve the intake process to ensure you are not on CMS’s radar); MBI (new number rollout, new number configuration); and Future Audits (overpayments on beneficiaries transitioning from Medicare to Medicare Advantage). Understanding the Hospice Regulatory Requirements for Hospice Providers When Caring for Patients in Long Term Care Barbara Provini, Accreditation Commission for Health Care / Track: Hospice

Do you understand the regulatory requirements that are placed on hospice providers when caring for a patient in a long term care facility? Who is to do what? This presentation will review those requirements and tips for compliance and strategies for develop-ing a successful partnership with the long term care providers in your area.

6:30-7:30 p.m. – COCKTAIL RECEPTION & MEMBER MINGLE

FRIDAY, JUNE 8

7:30-8:15 a.m. – BREAKFAST WITH EXHIBITORS

8:30-9:30 a.m. – CONCURRENT BREAKOUT SESSIONS

Compliance as a Service

Jason Watters, Mobile Health / Track: Management

Though healthcare is America’s fastest growing industry, it is plagued by a number of structural inefficiencies that have created massive waste of duplicated and unnecessary efforts: overlapping and unclear regulatory oversight, changing payer landscapes, increased patient literacy and antiquated systems and processes focused on risk management rather than patient outcomes. Through open sharing of information and the setting of standards above and beyond those of the regulatory landscape, we believe that the industry can reduce costs and improve outcomes for employees, employers and patients system-wide.

The Home Health Agency Medicare Cost Report: Requirements, Compliance and Benchmarking Thomas Boyd, Simione Healthcare Consultants, LLC / Track: Financial/Legal

Participants will learn how inaccurate reporting likely affected the HHA PPS rates now and for the future. Par-ticipants will gain an understanding of the many problems found in cost reporting for home health agencies and learn how to avoid them in the future. The legal and regulatory requirements of the cost report will be discussed along with a description of the documents needed to be filed. The practical approach to the filing of the cost report will be presented.

Methadone: A Review for Hospice Providers Natalee Felten, Enclara Pharmacia / Track: Hospice Methadone is unique and effective opioid but is often underutilized due to lack of familiarity and comfort with

its dosing as well as stigma associated with its use for substance abuse disorders. Methadone is not appropriate for all patients due to its drug interactions and variable kinetics but can be very useful in patients with mixed pain and/or experiencing intolerable side effects from other opioids. Frequent pharmacist consults and clinician feedback reveals that (1) many clinicians need assis-tance with initial dosing and monitoring guidance and (2) multiple dosing regimens are employed with contention that one method is superior to the other.

Technological Advances in Home Care

Ginny Kenyon, Kenyon HomeCare Consulting / Track: Clinical

Technology is advancing at a pace never experienced by humankind. Artificial intelligence, gene ther-apy and other biochemical and biotechnical advances are just a few of the innovations that will im-pact us as we move forward in this paradigm shift. Going forward, the impact of Carebots, neuro im-plant, smart home, self-driven cars and gene therapy will impact not only our care but potentially our survival as an industry if we are not prepared to use these innovations to our advantage for our pa-tients and our organizations.

9:45-10:00 a.m. – GRAND PRIZE & RAFFLE DRAWINGS IN THE EXHIBIT HALL

10:15-11:15 a.m. - CONCURRENT BREAKOUT SESSIONS

The Hospice Medicare Cost Report: Requirements, Compliance and Benchmarking

Thomas Boyd, Simione Healthcare Consultants, LLC / Tracks: Financial/Legal and Hospice

The cost report will require substantial changes in accounting and financial reporting (including a hos-pice chart of accounts) and statistical accumulation. Hospices need to begin planning, in conjunction with those responsible for cost report preparation, by assessing the accumulation of financial and sta-tistical information, modification of procedures to ensure ongoing collection of that information, and strengthening the preparation of the report to ensure all the required information is available for the entire cost reporting year. Information used for the preparation of current reports is not sufficient for an accurate filing in the future. “With hospices certifying and ensuring the accuracy of the cost report data, the proposed cost report will be used to revise future payments for hospice care.”

OIG: High Risk Areas, Recent Actions & Compliance

Rachel Hold-Weiss, Arent Fox LLP / Track: Management

The HHS Office of the Inspector General has identified dozens of risk areas. This session will list risk are-

as in the 2018 OIG Work Plan, compliance strategies and describe criminal, civic and administrative

sanctions and disclosure obligations.

Optimize Your Business & Technology Processes for CoP Success

Craig Mandeville, Forcura, and Diane Link, Blacktree Healthcare Consulting / Track: Clinical

Are you ready? The new home health Conditions of Participation (CoPs) are intended to drive quality in

care and eliminate unnecessary procedural requirements for home health agencies. However, in order to

realize the benefits these CoPs were designed to deliver, home health and hospice organizations need to

optimize business and technology processes.

11:15 a.m. – GRAB & GO LUNCH

Schedule of events is subject to change.

SCHEDULE AT A GLANCE

CLINICAL TRACK

MANAGEMENT TRACK

FINANCIAL / LEGAL TRACK

HOSPICE TRACK

THURSDAY,

JUNE 7

7:30-9:15 A.M.

REGISTRATION / BREAKFAST WITH EXHIBITORS

OPENING REMARKS / KEYNOTE SPEAKER

9:30-10:30 A.M.

Real Performance

Improvement

Telehealth in the Home Health Space:

Lessons Learned

The FY2019 Hospice Wage Index Selling or Merging Your

Home Health Agency, Hos-

pice or Health Care Service

11:15 A.M.—

12:15 P.M.

CJR—What We’ve Learned Why MedPAC Thinks Home

Health Is Paid Too Much

Optimizing Revenue Cycle

Management in Today’s

Managed Care Environment

Caring for Patients with Advanced

Illness: A Palliative Care Update

12:30-2:00 P.M. ANNUAL AWARDS LUNCHEON & ASSOCIATION ANNUAL REPORT

2:15-3:15 P.M.

Targeted Probe & Educate

- What We’ve Learned So

Far

Healthcare Emergency

Preparedness

Managing Legal Risks in

Securing Patient Referrals

Management of Less Common

but Troubling Symptoms:

Pruritus, Hiccups, Cough and

Bladder Spasms

3:30-4:30 P.M.

Home Health Groupings

Model

Hot Topics in Medicaid Man-

aged Care

New Jersey Employment Law

Update

Palliative Care: Bridging the Gap

in the Community

5:15-6:15 P.M.

Integrating Healthcare

Providers to Create a

Successful Discharge while

Reducing Readmissions

Conquering the ADR

Dilemma

Medicare Revenue Cycle

Management - Eliminate

Fraud and Abuse and Ensure

Accountability

Hospice Regulatory

Requirements for Hospice

Providers When Caring for

Patients in Long Term Care

6:30-7:30 P.M. COCKTAIL RECEPTION & MEMBER MINGLE

FRIDAY,

JUNE 8

7:30-8:15 A.M.

BREAKFAST WITH EXHIBITORS

8:30-9:30 A.M.

Technological Advances in

Home Care

Compliance as a Service The HHA Medicare Cost

Report: Requirements,

Compliance and

Benchmarking

Methadone: A Review for

Hospice Providers

9:45-10:00 A.M. GRAND PRIZE DRAWING IN EXHIBIT HALL

10:15-11:15 A.M.

Optimize Your Business &

Technology Processes for

CoP Success

OIG: High Risk Areas, Recent

Actions & Compliance

The Hospice Medicare Cost Report: Requirements, Compliance

and Benchmarking

11:15 A.M. GRAB & GO LUNCH