2019 Convention Sessions

Break Out Session 1

10:45 am - 11:45 am     Thursday, April 4, 2019

 
cheryl needham 1.001.png

Telemedicine for Both the Sleep and Respiratory Patient
Cheryl Needham
Sr. Clinical Marketing Manager
Philips Respironics


Telemedicine can be defined in many different ways such as telephone calls, FaceTime and data management, but always has the goals of improving access to care, improving quality of care and improving efficiency or cost-effectiveness of care.

Objectives

  • Define Tele-monitoring

  • Discuss Tele-monitoring for the Sleep Patient

  • Discuss Tele-monitoring for the Respiratory Patient

  • Re-state how to Reduce Readmissions with Tele-monitoring

This session is approved for 1 CEU credit for RTs from AARC.


Compliance Program: Your Most Important “Profit Center”
Jeff Baird, Esq.
Brown & Fortunato, P.C.

The OIG has stressed the importance of compliance programs for DME suppliers by issuing guidance on how the programs should be structured and implemented. Congress has also weighed in through the Affordable Care Act, which makes compliance programs mandatory for DME suppliers at a date to be set in the future. This program will discuss how an effective compliance program helps create financial success, customer loyalty, community support and employee satisfaction. Topics covered will include primary compliance program objectives, the role of management in overcoming implementation obstacles, and identifying and addressing risk areas. Topics will further include changing behaviors, balancing multiple roles, integration with other parts of the organization, education and training, and finding qualified staff. The program will review the elements of an effective compliance program, and the need to regularly review and update the program. Specific risk areas arising from marketing of DME will be discussed, as well as how to identify and address risk areas particular to DME suppliers.


Documentation LIFE Preserver Class- Part 1
Dan Fedor
Director of Reimbursement
U.S. Rehab- A Division of The VGM Group

Do you feel like you are drowning in documentation? Are you spending more time writing and rewriting documentation for health insurers such as Medicare, Medicaid, Medicare Advantage Plans and Private Insurances than actually treating patients? Is this affecting your personal life because there is not enough time during the day to complete this documentation? The amount of content required is overwhelming and there just doesn't seem to be enough time during the day to give them what they expect and to be a therapist. You chose this profession to treat patients and not to have to spend the amount of time you have to writing documentation for third party payers. You were well educated in school on how to be a therapist but not so much on how to write documentation so health insurers understand your patient’s mobility limitations. While this is necessary in order for many of your patient to obtain the mobility equipment they need, does it have to consume so much time? The answer is NO, as these payers have internal requirements and are driven by more than just the written policy.

 

Break Out Session 2

1:15 pm - 2:15 pm     Thursday, April 4, 2019

 

Ask The Reimbursement Expert
Stephanie Morgan Greene
President
Morgan Greene Consulting

Ask the Expert. Is there a question you want to ask about the Medicare process, but don't know who to ask? This is the session for you! During this session we will review questions about Medicare - from documentation, audits, appeals ... and anything in between. We have been collecting questions ranging from the impact of recent LCD changes, to using amendments after an audit denial, to much, much more. We hope to see you there, with your own questions, or just to learn from others!

 
cheryl henninger 1.001.png

Respiratory Care in Today's Home Care Market
Cheryl Henninger, R.R.T, C.E.A.C.
Director
Gerould's Healthcare Center

A new age of health care is evolving. While reimbursement for home medical equipment continues to decrease, claims audits continue to increase, and competitive bid continues to expand, presenting a multitude of opportunities for home medical equipment companies. In this session, Cheryl will identify the top five readmission diagnoses and how respiratory therapists can contribute to decreasing re-admissions and managing chronic respiratory illnesses at home and in the community.

This session is approved for 1 CEU credit for RTs from AARC.

 
dan fedor 1.001.png

Documentation LIFE Preserver Class- Part 2
Dan Fedor
Director of Reimbursement
U.S. Rehab- A Division of The VGM Group

Do you feel like you are drowning in documentation? Are you spending more time writing and rewriting documentation for health insurers such as Medicare, Medicaid, Medicare Advantage Plans and Private Insurances than actually treating patients? Is this affecting your personal life because there is not enough time during the day to complete this documentation? The amount of content required is overwhelming and there just doesn't seem to be enough time during the day to give them what they expect and to be a therapist. You chose this profession to treat patients and not to have to spend the amount of time you have to writing documentation for third party payers. You were well educated in school on how to be a therapist but not so much on how to write documentation so health insurers understand your patient’s mobility limitations. While this is necessary in order for many of your patient to obtain the mobility equipment they need, does it have to consume so much time? The answer is NO, as these payers have internal requirements and are driven by more than just the written policy.

 

Break Out Session 3

2:30 pm - 3:30 pm     Thursday, April 4, 2019

Portable Oxygen Concentrators (POCs) in DME: Current Trends and Practices
Nick Macmillan
Principal
Outside the Box Consulting

Nick Macmillan, Principal, Outside the Box Consulting, will present the results of a recent provider survey and how they affect product development, selection and practices.

Objectives:

• Participants will understand the criteria used to select POCs by DME and patients

• Participants will gain insight into the value that patients place on monitoring their own oxygen saturation

• Participants will gain insight into best practices in providing

This session is approved for 1 CEU credit for RTs from AARC

 

The New Competitive Bidding Program – Deep Dive
Cara Bachenheimer, Esq.
Brown & Fortunato, P.C.

In this session, Cara will unwrap the details of CMS’ final rule that establishes how CMS will construct the new Medicare DME competitive bidding program. This program will address the positive developments that have occurred and that should result in a better bidding program, including bid bonds, increasing the bid ceiling to 2015 fee schedules, as well as the new bid program’s lead item pricing and maximum winning bid methodologies. We will discuss product categories, lead item, and provide the most recent sub-regulatory updates available and what these mean for bidders and Medicare beneficiaries. Attendees will also learn about the educational tools available to bidders and others who need to best understand the dynamics of the new competitive bidding program.

 

The Case for Wheels: Selecting the Clinically Appropriate Base, Part 1
Jay Doherty, OTR, ATP/SMS
Director, Clinical Education
Quantum Rehab

The recommendation of power wheelchair mobility can be very challenging within the Complex Rehab market these days. There are many different choices for the consumer to choose from. Drive wheel configuration choice can have a major impact on how the wheelchair is utilized and how the power wheelchair functions for the individual. This class will provide the participant with the information they will need to assist in the selection of the correct power base for the individual’s specific needs. The course will provide an interactive lecture and hands-on component ton allow the groups of participants to explore how drive wheel configuration handles different environmental challenges.

 

Break Out Session 4

3:45 pm - 4:45 pm     Thursday, April 4, 2019

How to Get the Most Out of Your Payer Contracts
Laura Williard
Vice President, Payer Relations
American Association for Homecare

Getting that business from your referral source is important. Getting paid for it and keeping your money keeps you in the driver's seat to stay in the race. In this session, learn more about payers and reimbursement opportunities and participate in a group discussion; Best practices that every HME should require from all levels of staff and in all areas of the revenue cycle, front to back.

 

The Case for Wheels: Selecting the Clinically Appropriate Base, Part 2
Jay Doherty, OTR, ATP/SMS
Director, Clinical Education
Quantum Rehab

The recommendation of power wheelchair mobility can be very challenging within the Complex Rehab market these days. There are many different choices for the consumer to choose from. Drive wheel configuration choice can have a major impact on how the wheelchair is utilized and how the power wheelchair functions for the individual. This class will provide the participant with the information they will need to assist in the selection of the correct power base for the individual’s specific needs. The course will provide an interactive lecture and hands-on component ton allow the groups of participants to explore how drive wheel configuration handles different environmental challenges.

 

A Deeper Dive into the TPE Findings
Stephanie Morgan Greene
President
Morgan Greene Consulting

During this session, we will do an in-depth review about the Targeted Probe and Educate audits, with a special focus on documentation needed for supplies distribution for Medicare.  We will review the TPE process, tips for best success, as well as providing tips to help ensure success in the audit, and if needed, how to win an appeal.  Join us for a deep dive into the world of the TPE audit!

 

Break Out Session 5

9:15 am - 10:15 am     Friday, April 5, 2019

 

Embracing Patient Engagement
Cheryl Henninger, R.R.T, C.E.A.C.
Director
Gerould's Healthcare Center

In this session, she will teach about the types and importance of patient engagement and discuss opportunities for patient engagement. Attendees will learn about new revenue streams and how to contribute to improved outcomes by creating community networking opportunities and partnerships with other agencies and health care professionals to circle around your community.

This session is approved for 1 CEU credit for RTs from AARC.

HME in 2019 & Beyond
Mark J. Higley
Vice President – Regulatory Affairs
VGM Group, Inc.

2018 provided to be an (arguably) turbulent year – complete with major new rulemaking and regulation, accelerated industry consolidation and further market downsizing, and, overall, a mixture of cautious optimism coupled with some apprehension as to what 2019 – and beyond – might offer. Mark will present updated industry data, commentary relative to the likely outcomes of the new competitive bid auction procedures, and an inclusive assessment/prediction of key market dynamics in the next several years.