Part 1: Homebound Status
December 1, 2011 • 12:00pm – 1:30pm PDT
Presenter: Judy Adams, RN, BSN, HCS-D, COS-C

Homebound status is a basic Medicare requirement for home health coverage. If you can't clearly establish it, Medicare won't pay. During this session we will review the definitions and conditions that establish homebound status - in detail - and its impact on home health coverage. The session will include examples of documentation that supports and does not support homebound status as well as explore the impact of driving, trips to day care and other situations on the determination of homebound status.

Objectives:
1. Identify the official Medicare definition of homebound status.
2. Describe real-world examples of documentation that illustrates homebound status
3. Define Special situations and how they impact homebound status including driving, absences from home, patients who attend day care or outpatient services.

Part 2: Medicare Coverage
December 15, 2011 • 12:00pm – 1:30pm PDT
Presenter: Judy Adams, RN, BSN, HCS-D, COS-C

This session is designed for new home health staff and will provide an overview of qualifying criteria and guidelines for coverage of specific skilled nursing, therapy, social work and home health aide activities. During the session, we will identify and highlight the specific information necessary to support specific Medicare covered services for each of the six covered home health disciplines and limitations to those services.

Objectives:
1. Define the basic qualifying criteria for Medicare home health services.
2. Describe the criteria for at least four specific Medicare covered skilled nursing services.
3. Identify the basic coverage criteria for skilled therapy, social work and aide services under the home health benefit.

Part 3: Care Plan Development
January 12, 2012 • 12:00pm – 1:30pm PDT
Presenter: Judy Adams, RN, BSN, HCS-D, COS-C

The home health care plan is the map that drives home health care. During this session, we will review the regulatory requirements for care plans and the three major components to the care plan – problems/needs, interventions and goals. The session will provide sample documentation and key elements that must be considered when developing a home health care plan.

Objectives:
1. Define basic guidelines and considerations when developing a care plan.
2. Identify how the plan of care can serve as a guide for documenting home health care.
3. Describe the major components of goal statements.

Part 4: Case Management
January 26, 2012 • 12:00pm – 1:30pm PDT
Presenter: Judy Adams, RN, BSN, HCS-D, COS-C

Case management is the key to providing cost effective, efficient and quality home health care. The system relies on collaborative and interactive coordination, communication, and implementation of services by the home health team to obtain the best quality and financial outcomes for each home health patient. Teamwork rather than Individual discipline silos are necessary to accomplish effective case management.

Objectives:
1. Define the components of case management.
2. Describe the benefits of effective case management for the patient, the caregivers and the health care programs that are funding the services.
3. Identify the benefits of utilizing a shared practice model versus isolated discipline interactions.

Part 5: Documenting for Success
February 9, 2012 • 12:00pm – 1:30pm PDT
Presented by: Judy Adams, RN, BSN, HCS-D, COS-C

Whether your agency is using a point of care system or still documenting manually, there are key issues that must be included. This session will not only define the necessary contents for home health documentation, but provide examples of good documentation. The session will also feature some real examples of home health documentation submitted to intermediaries to analyze and determine whether they meet requirements.

Objectives:
1. Identify the 4 key components they must be in every home health note.
2. Analyze sample chart entries to determine if they support home health services.
3. Describe documentation dos and don’ts.

Part 6: Beneficiary Notices
February 23, 2012 • 12:00pm – 1:30pm PDT
Presented by: Judy Adams, RN, BSN, HCS-D, COS-C

Since 2001, home health agencies and other health care providers have been required to provide official notices to Medicare beneficiaries at the initiation, reduction and termination of Medicare services. Despite the fact, these requirements have been in effect for a decade now, there continues to be confusion about when and which form needs to be provided. Beginning in 2011, the government began to require copies of the appropriate beneficiary notices that must be submitted for review along with other aspects of the medical records in response to Additional Documentation Requests. This session will focus on the requirements and appropriate completion and delivery of the Home Health Advance Beneficiary Notices and Expedited Determination/Notice of Medicare Non-coverage forms.

Objectives:
1. Describe the triggering events for issuing the HHABN.
2. Identify the proper use and way to complete each of the three versions of HHABN forms.
3. Define the use of the two types of Expedited Determination/ Notice of Medicare non-coverage forms.

Part 7: Basic Principles of Coding
March 8, 2012 • 12:00pm – 1:30pm PDT
Presenter: Judy Adams, RN, BSN, HCS-D, COS-C

This session is designed for individuals new to coding or those interested in “getting back to Basics”. The session will provide didactic information interspersed with mini case examples to provide the participants with a basic foundation for ICD-9-CM coding. Highlights of the session include:
• General Coding Guidelines
• Multiple coding Guidelines
• Etiology/Manifestation Situation
• Coding Acute and Chronic Conditions
• Use of symptom codes
• Coding Fractures
• Determining the primary and other codes
• Basics of sequencing codes

Objectives:
1. Identify 2 basic rules for coding.
2. Describe a minimum of three general coding guidelines.
3. Identify the steps in selecting the diagnoses

Part 8: Importance of the OASIS
March 23, 2012 • 12:00pm – 1:30pm PDT
Presenter: Judy Adams, RN, BSN, HCS-D, COS-C

The Outcome and Assessment Information Set (OASIS) is a standardized data set that may truly be the most important form in home health today. Following more than two decades of research and development and another decade of modifications, this one tool is the key to many aspects of home health care. This session will look at the many uses of OASIS is quality monitoring, certification surveys and payment determination of home health services. Accuracy in completion of this form is vital because of its many uses in home health. This session has been developed to explore all of the many uses of the OASIS data rather than focus on the guidance for completion of individual OASIS items.

Objectives:
1. Identify the seven common uses of OASIS data.
2. Describe the variety of quality reports generated from OASIS and the types of information they provide.
3. Describe the relationship between OASIS and Medicare episode payment.

Part 9: Care Coordination: How to Do It and Document It
April 5, 2012 • 12:00pm – 1:30pm PDT
Presenter: Rebecca Friedman-Zuber, MA, BSW

Care coordination is both a critical long-standing home health requirement and a hot new buzzword in home care. A lack of care coordination among disciplines is always one of the top 10 deficiencies cited by Medicare surveyors nationwide. The tag numbers associated with care coordination and its documentation—G143 and G144—are among those identified at Level 1(Highest Priority) in the new Medicare survey process. Home health nurses must understand what is required, why it is important, and how to document these activities effectively in order to be successful in the home care industry.

Objectives:
1. Discuss the regulatory and the practical reasons why care coordination is critical in today’s home health agency.
2. Discuss strategies that will help nurses improve the frequency, content and outcomes of their care coordination activities both within the agency and with external entities providing care to their patients.
3. Discuss options for documentation of care coordination activities, including the elements that make approaches more and less successful.

Part 10: Crime Prevention/Workplace Training-Home Health Nursing
April 19, 2012 • 12:00pm – 1:30pm PDT
Presenter: AJ Gwyn, Commander, Southern Crime Prevention Task Force

This training seminar is a crime prevention and workplace violence presentation designed for people working in the nursing field, and or the healthcare industry. Twenty-five different topics on the subject matter will be covered during the session.

Objectives:
1. Discuss situations/conditions that home care workers need to be aware of when working on the home.
2. Discuss who poses a risk to a home care worker.
3. Discuss how, when, and why criminals commit certain crimes.