HealthWare: Home Health, Private Duty and Hospice Educational Webinars




Home Health, Private Duty and Hospice Educational Webinars

Welcome to HealthWare's Education Page! As a leading software developer celebrating 25 years of providing single vendor solutions to home health and hospice agencies, HealthWare is committed to evaluating and implementing new technologies to ensure our clients always have the best virtual and integrated solutions available to them now and in the future. We are proud to keep you at the forefront of the home care and hospice industry through the use of our innovative technologies and free educational programs. Request Information



  Countdown to 2013: Conversion from ICD-9 TO ICD-10
Jennifer Warfield, RN, BSN, HCS-D, COS-C, PPS PLUS Education Director

As a homecare coding specialist, OASIS specialist and registered nurse with 30 years of clinical and management experience, Jennifer is an informational ally for hundreds of home health agencies across the country. Well known as an ICD-9 coding and OASIS expert, she frequently conducts online and on-site educational workshops and is a regular guest speaker at numerous home care conferences throughout the country.
Developed as a means of tracking causes of death, the ICD system is now used by the World Health Organization (WHO) to collect causes of morbidity and mortality. The US is behind other industrialized countries as we still utilize the ICD-9 system of coding. On Oct 1, 2013, the US will change from ICD-9 to ICD-10 for medical diagnoses in home health. This transition will require major changes for agencies. Join Jennifer Warfield as she presents an introduction to the transition. Learn what you should be doing now, important dates to remember and ways to start preparing your staff.

Watch the Video

  Case Management - The Key to Success in Homecare
Sharon M. Litwin, Senior Managing Partner of 5 Star Consultants

Sharon is a nationally known speaker on the topic of Homecare Case Management. She has over 25 years experience in the homecare industry, and has been Executive and Regional Directors in Homecare Companies.
She will share her winning strategies to use within a case management model:
  • Communication: It is vital that clinicians remain in close communication for effective case management, so establish guidelines to stay connected.
  • Processes for admission, recertification and discharge: Here’s how to streamline these procedures to boost efficiency.
  • Documentation techniques: Record all coordination of care meeting all requirements without increasing documentation time.
  • Processes to manage episodes: Know your profit/loss per patient and avoid surprises in the monthly financials with these fool-proof techniques to track your patients throughout each episode.
  • Scheduling methods: Empower your clinicians to manage their patients while the agency provides oversight of master schedules. Find out how to develop multi-disciplinary teams to jointly carry a caseload of patients.
All Agencies will benefit from this webinar. Whether you are in the early stages of case management, have been doing case management for years or haven’t even heard of it, you will learn from experiences of others, while receiving best practices.

Watch the Video



  2012 Final Rule
Jennifer Warfield, RN, BSN, HCS-D, COS-C, Educational Director
Thursday, December 15, 2011 at 2pm Central

After much anticipation, the Home Health Final Rule was released on October 31, 2011. The 2012 Final Rule contains many changes that agencies will need to be familiar with in order to be compliant and successful in 2012.

The Final Rule contains clarifications and changes to the F2F guidelines, information regarding essential HTN, case-mix points, changes to therapy weights, annual market basket information and much more.

Join Jennifer Warfield as she helps you decipher and understand the areas of the Final Rule that will affect Home Health agencies the most.

Watch the Video



Adams Home Care Consulting
  The Impact of the 2012 Changes on Home Health Coding
Judy Adams, RN, BSN, HCS-D, HCS-O, COS-C
Thursday, November 17, 2011 at 2 pm Central

The influence of ICD-10 continues to be seen in the changes to ICD-9-CM codes. All of the new and changed codes for this year provide greater specificity. This 90- minute webinar will not only review the codes most likely to impact home health care of the nearly 200 new and changed codes, but also identify the codes that have received case mix designation for 2012, and review the changes in the ICD-9-CM Official Guidelines for Coding and Reporting that became effective 10/1/11. The program will enable the attendee to determine if you are using the new and changed codes to your advantage as well as have an opportunity to practice application of new codes and ask questions about coding issues.

Objectives:
1. Identify which of the 40 new skin cancer codes provide case mix points for both the Home Health Resource Group and Non-routine supplies.
2. Describe the proper code sequencing for removal of a joint prosthesis in a variety of situations – replacement of the joint, treatment of an active infection and use of a space between surgeries.
3. Correctly select and apply new codes in a variety of scenarios.
4. Describe the impact of updates in the Official Coding Guidelines related to complications and late effects.

Watch the Video
View the Handouts



  So Much More Than Just a Documentation Issue
Arnie Cisneros, P.T., President of HHSM
Thursday, October 20, 2011

The 2011 PPS Rule requires that therapists employ objective tests and measures in their care plan production and subsequent care delivery. New documentation requirements will add 1-3 hours of professional time to each episode. Learn how to help your therapists produce and document qualified programs that can survive both new requirements and audit scrutiny.

Objectives:

1. Identify areas of concern regarding therapy delivery/documentation in the era of CMS Audits and reforms.
2. Review the latest audit denial findings from multiple CMS contractors regarding therapy claims and reimbursements.
3. Outline care content and documentation requirements that address areas of exposure in current Homecare therapy delivery.
4. Provide examples of care and documentation that achieve CMS current and future therapy goals.

Watch the Video



  Boundaries: The Invisible Walls
Sheryl Jones, RD, LD, MBA, Manager of Product Services - The Corridor Group
Thursday, September 29, 2011 at 2 pm Central

Objectives:
1. Define and determine professional boundaries
2. Discuss boundary violations and dual relationships
3. Identify what organnizations can do to assist their staff in responding to professional boundary issues

Visiting staff are in a position of power with the vulnerable client and it is the responsibility of the clinician to set and maintain personal and professional boundaries. This can be difficult but essential to put up the invisible wall. This webinar will discuss the types and dynamics of professional boundaries and how to stay in-bounds which will result in better outcomes for staff and those they care for.

Watch the Video

  Coding Update for Fiscal Year 2012
Sharon Molinari, RN, HCS-D, HCS-O
Thursday, September 22, 2011 at 2 pm Central

This presentation will provide an overview of the Coding Update for FY2012.

Code changes occur every October 1st, and there is no grace period. There are 166 new codes, 168 revised ones, and 88 deletions for FY2012. These code changes reflect an ongoing effort by CMS for greater specificity in diagnosis coding and will most likely be the last ones prior to the implementation of ICD-10 on October 1, 2013. Attend this one hour webinar and learn the new code changes that will impact home care as of October 1st. Also, find out why CMS is again proposing to remove two hypertension codes from the current case mix group. The time to prepare for these changes is now!

Watch the Video



  Preparing for ACHC Accreditation
Teresa Harbour, RN, MBA, MHA
Thursday, August 25, 2011 at 2 pm Central

This presentation will provide an overview of the ACHC accreditation and survey process.

Objectives:
  1. Understand the accreditation process from start to finish
  2. Receive guidence on the items required for submission of the Preliminary Evidence Report
  3. Understand the survey process from opening to closing conferences
  4. Define the requirements for personnel and patient records
  5. Receive guidance on developing a Performance Improvement Plan
  6. Define the elements needed for an effective plan of correction


Watch the Video



  Denial-Proof Documentation
Lisa Jenkins, MPT, BBA, President, Physical Therapy Consultant
Thursday, July 21, 2011 at 2 pm Central

  1. Understand the purpose of documentation regarding patient illness or injury, plan of care, and clinical justification for skilled treatment intervention.
  2. Understand the documentation process.
  3. Define component parts and requirements of the therapy evaluation.
  4. >
  5. Discuss patient-specific interview questions to develop various component parts of the evaluation and pertinent patient information.
  6. Understand requirements for identifying objective measurements regarding Transmittal 63 and the use of informal and standardized assessment instruments.
  7. Determine how to devise a treatment plan.
  8. Understand and develop key elements and requirements of the daily encounter note.
  9. Define elements and requirements of progress notes and re-certifications.
  10. Develop component parts and requirements of the discharge note.
  11. Discuss requirements of patient screens in a SNF.
  12. Determine required elements of patient orders.
  13. Define regulations and requirements for group/concurrent treatment related to:
    • Medicare part A
    • Medicare part B
    • Documentation
    • Billing
Watch the Video



  ICD-9 Coding & OASIS: What You Need to Know for Assured Accuracy
Jennifer Warfield, RN, BSN, HCS-D, COS-C, Educational Director
This event was held live at the Hard Rock Hotel at Universal Orlando and is not available on demand


In the past 3 years, home health has seen many changes and new regulations, and there are still more to come in 2011. Most of these changes and new regulations affect not only an agency's policies and procedures, but can also affect its reimbursement. Some of these are out of the agency's control but others can be controlled with ongoing staff education. Join us as Jennifer provides the ICD-9 and OASIS-C information agencies need to know in order to assure accuracy of clinical records and reimbursement. She will provide detailed information that every clinical staff member should be using every day. She will also allow time for answering your most pressing questions and provide sample scenarios.




  ICD-10: The Good, The Bad, and The Ugly
Trish Twombly, BSN, RN, HCS-D, CHCE, Senior Education Consultant
Thursday, May 12, 2011 at 2 pm Central

All health care entities must transition from ICD-9 CM to ICD-10 CM in 2013. It is important for the home health industry to realize there are processes that should be occurring right now to prepare for the conversion. For example, in preparation for the transition to ICD-10CM, the conversion to HIPAA 5010 is happening this year. The webinar will provide an overview of the new coding system, describe HIPAA timelines, discuss staff educational needs and how to prepare now to lessen the transition’s impact on your agency.

Watch the Video
View the Handouts



  Defeating Orthopedic & Therapy Coding Dilemmas
Jennifer Warfield, RN, BSN, HCS-D, COS-C, Educational Director
Thursday, March 24, 2011 at 2pm Central

Objective 1: Identify official coding rules and guidlines
1. General coding guidelines
2. M2200 and it's relationship to coding
3. OASIS-C considerations

Objective 2: Assess frequently used coding conventions in Orthopedic conditions
1. Using 781.2 (abnormality of gait) as a symptom or a etiology code
2. Use of 719.7 (difficulty in walking)
3. Weakness and other symptom codes
4. Etiology or symptom code

Objective 3: Recognizing when to use V57 codes appropriately
1. Current guidelines for V57 codes
2. Therapy only cases
3. Multiple disciplines and V57 codes
4. Aftercare code or V57 code

Objective 4: Apply lessons learned to practice scenarios
1. Practice Scenarios

Watch the Video





  Focused Medical Review & ADR's
Michael McGowan, MBA/HCA, Senior Consultant, CEO
Thursday, February 17, 2011 2pm Central

Why the increase nationwide?
Why will you be probed electronically during the next 18 months?
Who really owns NGS, CAHABA, and Palmetto and why they are under new scrutiny from CMS?
Data triggers, Documentation deficiencies
Probe edit process
Focused medical review processes
Referral to the Benefit integrity group by the medical review teams

Medicare home health has changed in many ways, OASIS-C, Face to Face, and therapy thresholds have kept all of us so busy with minutia we have forgotten the most important relationship of all: the one we share with our RHHI. State and accreditation surveyors can force you to write plans of correction and reorganize. Within 5 minutes your billing can be audited by 50% on pre-pay basis. Within 5 minutes it can be turned off. Which one deserves the greatest attention?

Agencies accross the country pass accreditation surveys and department of health surveys everyday just to loose hundreds of thousands of dollars in medical review. RAD readiness seminars have supposedly protected agencies but no one has presented the inside story as of yet and how to audit using the same tools the RHHI and BI groups use. Now is the time to be informed as preparations thus far seem not to have provided the protection expected.

Watch the Video
View the Handouts
Free Chart Audit Tool




  Home Care, Hospice and Healthcare Reform: Technologies for Coping with Change
Tim Rowan, Editor Home Care Technology Report
Thusday, January 27, 2011 2pm Central

All I Ever Wanted to do was Care for Patients! Medicare rate cuts, growing paperwork burden, nitpicking auditors, P4P, ACOs, hospice eligibility details, OASIS-C, and that H.E.A.T. Stirke Force with it's gun and subpoenas. When do I have time to take blood pressure, dress wounds, teach nutrition, consult with physicians and hold a terminal person's hand? If you find yourself singing "Hold me down, turning me 'round, filling me up with their rules," just remember that the chorus of that song is "I have to admit it's getting better, a little better all the time."

Watch the Video
View the Handouts




  Complication or Late-Effect?
Jennifer Warfield, RN, BSN, HCS-D, COS-C, Educational Director
Thursday, January 13, 2011

General coding guidelines state that once the acute phase of an illness or injury is over, the acute code cannot be coded in homecare. Once the acute phase is over, the patient may be left with deficits, residuals, or complications. How you code these will depend on whether the problem is considered a late-effect or a complication. Residuals are called late-effects and can be coded indefinitely. These late-effects are seen most often in patients after a CVA or TIA but can also be noted in patients after burns, fractures, or head and spinal injuries. General guidelines for late-effects state that there are no time restrictions for using a late-effect code. Complications have no time limits either, but can often be reversed with treatment. In this session we will discuss how to identify and code late-effects and complications.

Watch the Video
View the Handouts




  Making Sense of the Face-to-Face Regulation
Jennifer Warfield, RN, BSN, HCS-D, COS-C, Educational Director
Wednesday, December 29, 2010

Join us as we help make sense of the 2011 Face-to-Face Regulation that goes into effect January 1, 2011. This regulation will require policy changes and may very well affect the ability to accept certain patients if the regulation is not followed. With very little time left, this is your chance to get answers to the question you may still have.

Watch the Video
View the Handouts




  Telehealth from Start to Finish
Faye Bryant, BSN, RN, C, Clinical Services Administrator
Thursday, December 16, 2010

The presentation is designed to take some of the guess work out of starting a telehealth program. Faye will guide you from vendor selection in the beginning to measuring their outcomes in the end. At the end of this activity, you will have knowledge of statistical data reguarding the impact of telehealth in the home care setting; be able to determine if telehealth is right for your agency and patient population; have the knowledge to select the vendor that fits your agency; be able to set realistic goals for your telehealth program; tell the difference between a "sucessful agency" and one that "has a telehealth program"; know how to prperly implement a telehealth program; select patients appropriete for telehealth; and, evaluate their goals and outcomes.

Watch the Video
View the Handouts




  It's a Brave New Coding World
Trish Twombly, BSN, RN, HCS-D, CHCE, Senior Education Consultant
Thursday, November 18, 2010

CMS will release the 2011 home health final rule November 1st. That rule is expected to contain some of the most significant coding changes to hit the home health industry since the 2008 PPS rule. And you only have until January 1, 2011 to comply. Expected changes include Hypertension being taken off the case mix list and other criteria changes in co morbid conditions.

Watch the Video
View the Handouts




  Are Wounds Draining You?
Ann Giles, RN, BSN, HCS-D, COS-C, Director of Coding & OASIS Review
Thursday, October 21, 2010

Wound care is one of the most commonly provided services by homecare agencies. It is also one of the most financially draining. In this webinar we discuss the most common types of wounds in home care, explore the disease processes behind these wounds, provide tips for accurately identifying them, and demonstrate how to correctly answer the OASIS items related to these wounds. Proper identification and documentation are key to the treatment, healing, and accurate compensation for services provided.

Watch the Video
View the Handouts




  2011 Homecare Changes: Strategies for the Future
Arnie Cisneros, P.T., President of Home Health Strategic Management
Thursday, September 16, 2010

Home Health faces many challenges as a result of the latest refinements to the homecare model. Audit scrutiny from numerous CMS contractors, combined with sweeping modifications identified in the PPS Proposed Rule for 2011, will alter how agencies and clinicians identify and deliver in-home care in the near future. The newely revised concept of qualified care will modify and re-define acceptable protocols for Home Health: reasonable and necessary requirements will be the basis for coverage, and the working definition of how this is applied to care programs will be required for claim approval. In addition, decreases in funding and alterations in case-mix methodology, both seen in the proposed PPS Rule for 2011, will increase the need for escalated clinical control in homecare programming.

Watch the Video




  Conquering Tough Coding Situations
Jennifer Warfield, RN, BSN, HCS-D, COS-C, Educational Director
Thursday, August 26, 2010

This course focuses on general coding guidelines, official coding rules, specific coding situations using Appendix D and identifying diagnoses that are frequently coded incorrectly. Get one-on-one interaction and try your hand at practice scenarios to guage your understanding.

Watch the Video
View the Handouts




  Sailing the "C" of OASIS
Jackie Bush, RN, BS, CPHQ, COS-C
Thursday, June 24, 2010

This educational program provides clarification of OASIS-C items resulting in an improvement of the agency's accuracy and consistency in the collection and documentation of the OASIS-C assessment. This includes a review of Operational and Clinical Challenges and review of Strategies for Success to include Tips and Tools to meet the intent of the Plan of Care Requirements and support the agency's use of Best Practices. Also included is an overview of critical revisions to the 2010 Risk Adjustment Model and its potential impact on your agency's Quality Outcomes.

Watch the Video
View the Handouts