Palmetto GBA: Be Our MAC-entine!

This February, join us in Charlotte, NC for the

Southeast Home Health & Hospice MAC-Fest! Home Health • February 18, 2020 Hospice • February 19, 2020

Palmetto GBA is showing the LOVE for Home Health & Hospice this February during a

two day MAC-Fest! Take advantage of this face to face time with Palmetto GBA and the

opportunity to ask one-on-one questions!Save $99 when you attend both days!

Submit Your Questions to MAKISHA.P.CALLAHAM@palmettogba.com to receive a one-on-one appointment at the end of each day. Questions must be received by

February 7!

The Association for Home and Hospice Care of North Carolina is approved as a provider of nursing continuing professional development by the North Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

Fairfield Inn and Suites Charlotte Uptown will serve as the event site and host hotel. The reservation link and address can be found on the last page of this brochure.

Reserve your room by 1/28/2020!

Sponsored by:

Home Health • February 18, 2020

Financial Impacts of the Patient-Driven Groupings Model (PDGM)This presentation will provide the impact of PDGM to reference changes to the unit of payments from a 60 day episode to a 30 day episode, 30-day periods, requests for anticipated payments (RAPs), occurrence codes to include billing and claims overview.

Presenters: MaKisha Pressley-Callaham, Senior Provider Relations Consultant, Provider Outreach and Education, Palmetto GBA

Welcome and Opening Remarks by AHHC/SCHCHA President and CEO, Tim Rogers

Clinical Impacts of the Patient-Driven Groupings Model (PDGM)This presentation will cover the documentation to include the admission source and timing, clinical groups, functional impairment levels, comorbidity group, case-mix weights, other adjustments and how OASIS data will be used.

Presenters: Dan George, Senior Provider Relations Consultant, Provider Outreach and Education, Palmetto GBA

Review Choice DemonstrationThis presentation will provide an overview of RCD and how the model can work in your favor. RCD is a demonstration that would help make sure that payments for home health services are appropriate through either pre-claim, prepayment or postpayment review.

Presenter: Charles Canaan, Senior Provider Relations Consultant, Provider Outreach and Education, Palmetto GBA

Denials and Appeals This presentation will cover the top five billing denials and the steps your agency would take to avoid the denials. This session will include the appeals process and ensuring your agency responds to ADRs in a timely manner.

Presenters: MaKisha Pressley-Callaham, Senior Provider Relations Consultant, Provider Outreach and Education, Palmetto GBA

Q&A By Appointment - Submit Your Questions to Receive an Appointment TimeEmail your questions to MAKISHA.P.CALLAHAM@palmettogba.com by February 7, 2020.

9:00am-9:15am

9:15am-10:30am

10:45am-12:00pm

1:00pm-2:15pm

2:30pm-3:45pm

3:45pm-5:00pm

Hospice • February 19, 2020

Disclosing and Recouping Medicare Overpayments for Hospice ProvidersThis presentation will focus on voluntary refunds, credit balance reports and extended repayment schedules to include highlighting the financial features in eServices.

Presenter: Joe Strickland, Director of Finance and Audit, Palmetto GBA

Welcome and Opening Remarks by AHHC/SCHCHA President and CEO, Tim Rogers

Is Alzheimer’s Disease Not Otherwise Specified the New Debility, Unspecified?This presentation will focus on the changes in the diagnosis patterns among Medicare hospice enrollees. Specifically, there have been notable increases between 2002 and 2016 in neurologically-based diagnoses, including diagnoses of Alzheimer’s disease. In Fiscal Year 2017, “Alzheimer’s Disease, unspecified” was the number one principal diagnosis reported on Medicare Hospice claims (CMS 1692-F). Ten percent of hospice claims had ICD-10 G30.9 (Alzheimer’s disease, unspecified) listed as the principal diagnosis (n=155,066), nearly twice the second-place ICD-10 diagnosis J44.9 [COPD (n=77,758)]. This presentation will discuss the increased utilization of Alzheimer’s disease, unspecified (ICD-10 G30.9) and the associated changes in the Non-Cancer Length of Stay (NCLOS) Rates for the ICD-10 category Diseases of the Nervous System.

Presenter: Harry Feliciano, MD, MPH, Senior Medical Director. Palmetto GBA

Hospice Documentation - Denials and How to Avoid ThemThis presentation will cover issues related to hospice patients receiving no visits in the last 7 days and the Service Intensity Add-On (enhanced payments the last 7 days). The session will also cover the appeal process and problems with records not being submitted, the Notice of Election being invalid, and continual issues with Face-to-Face.

Presenter: Sherri Mertins, HHH MR Operations Manager, Jurisdiction M (JM), Palmetto GBA

Direct Data Entry (DDE) and the Notice of Election (NOE)This presentation will focus on basic navigation for inquiries, claims submission and claims correction in the Direct Data Entry (DDE) system. The presentation will also include information on the requirements for submitting the Notice of Election (NOE) through DDE and the electronic claims audience.

Presenter: Dan George, Senior Provider Relations Representative, Provider Outreach and Education, Palmetto GBA

9:00am-9:15am

Q&A By Appointment - Submit Your Questions to Receive an Appointment TimeEmail your questions to MAKISHA.P.CALLAHAM@palmettogba.com by February 7, 2020.

9:15am-10:30am

10:45am-12:00pm

1:00pm-2:15pm

2:30pm-3:45pm

3:45pm-5:00pm

Southeast MAC-Fest FacultyCharles Canaan, Senior Provider Relations Consultant (POE)Provider Outreach and Education, Palmetto GBACharles Canaan has over 30 years of diverse nursing experience in a variety of healthcare settings, to include inpatient, outpatient, home and organizational settings. His education includes a Bachelor of Science Degree in Nursing from Old Dominion University in Norfolk, Virginia, a Master of Public Health Degree in Health Promotion and Education and a Graduate Studies Certificate in Alcohol and Drug Studies from the University of South Carolina, and a Coding for Health Care Professionals Certificate from Trident Technical College. He reviews medical utilization data and trends. He currently provides education and consultation to Medicare Part A and Part B providers with learning needs.

Dan George, Senior Provider Relations Representative (POE)Provider Outreach and Education, Palmetto GBADan George has been with the Medicare program since 2004. In 2008, he became part of Palmetto GBA’s Congressional Unit. This unit handled complex inquiries for Part A, Part B and Home Health and Hospice. His experience is extensive in, but not limited to, coverage polices, compliance, billing, enrollment, and systems. In 2007 and 2008, he was a manager for Palmetto GBA’s Beneficiary Call Center. Prior to working with Medicare, Dan worked in skilled nursing facilities for 12 years. He directed Dietary Departments, which included participation in nutritional assessments, care planning, wound rounds, and patient documentation. Since late 2012, he has been a part of Palmetto GBA’s Provider Outreach & Education Department, focusing on Home Health & Hospice.

MaKisha Pressley-Callaham, Senior Provider Relations Representative (POE)Provider Outreach and Education, Palmetto GBAMaKisha is a graduate of Nova Southeastern University with a Doctoral degree in Education with an emphasis in Instructional Technology and Distance Education. She has over 20 years of experience with the Medicare program. In her current role as Senior Provider Relations Representative in Palmetto GBA’s Provider Outreach and Education department, she is the point of contact (POC) for outreach and education activities related to home health and hospice billing guidelines and regulations. MaKisha also has the responsibility to organize and develop educational materials, collaborate with providers and CMS regarding updates and changes to the Medicare program. With experience in Medicare communications, her expertise and knowledge enables her to explain complex statutes, legislative mandates, billing procedures, and policies in a manner easily understood by key stakeholders and program participants.

Joe Strickland, DirectorFinance and Accounting, Palmetto GBAJoe Strickland is a graduate of Augusta State University with a Bachelor of Business Administration degree in Accounting with over 20 years of experience with the Medicare program. In his current role as Director in Palmetto GBA’s Finance and Accounting department, his staff is responsible for all aspects of Medicare Financial Management, including Debt Collection, Extended Repayment Schedules, Debt Referral, Appeals, Voluntary Refunds, and Financial Reporting.

Harry Feliciano, MD, MPH, Senior Medical DirectorMedical Review, Palmetto GBADr. Feliciano is a specialist in internal medicine, geriatrics, preventive medicine and public health and currently serves as Senior Medical Director for Palmetto GBA. He received his medical degree from the Albert Einstein College of Medicine and his Masters of Public Health degree from the Columbia University School of Public Health. Dr. Feliciano leads an interdisciplinary group of associates (including physicians, nurses, and business analysts) dedicated to reducing the Medicare claims payment error rate through collaborative process improvement.

Sheri Mertins, HHH MR Operations ManagerJurisdiction M (JM), Palmetto GBASheri Mertins is the HHH MR Operations Manager for Jurisdiction M at Palmetto GBA. She is responsible for the Home Health and Hospice Medical Review team as well as Medical Review training and quality assurance. Ms. Mertins has been employed with Palmetto GBA for the past year. Sheri has a Master of Science in Nursing from Grand Canyon University and has more than 21 years of comprehensive clinical and leadership experience in various settings. Sheri is also a member of numerous professional organizations including American Nurses Association and Sigma Theta Tau International Honor Society of Nursing.

Southeast MAC-Fest • February 18-19, 2020

Amount Enclosed

Attendee Name

Agency Name

Agency Address

City State Zip Phone

Attendee Email Alternate Email

If paying by check, please make payable to AHHCCredit Card Number Exp. Date

Name (as it appears on card)

Address of cardholder

Email Address for CC receipt

Signature (required)

Registration must be received in writing and will not be accepted without payment. Three easy ways to register: 1. Online Registration - please visit www.ahhcnc.org/events 2. Mail registration form with total registration fees (check or credit card) to:

AHHC, 3101 Industrial Dr., Ste. 204, Raleigh, NC 276093. Fax form with total registration fees (credit card) and signature to 919.848.2355

Contact Richard Fowlkes with questions: 919.848.3450 or richard@ahhcnc.org

Registration begins at 8:00am, the event will begin promptly at 9:00am and conclude by 5:00pm. Please register each attendee on a separate form - you may duplicate this form as many times as you need. Cancellation and Substitution Policy: Fees will be refunded, or invoices will be adjusted, only if written notice of cancellation is received by AHHC two weeks prior to the event. In the event of cancellation, AHHC will retain, or charge, $100 of the initial registration fee, per registrant, to cover hotel obligations and administrative overhead. Once written cancellation is received, an AHHC staff member will review for approval. If your cancellation is approved, we will email back a signed and dated copy of the cancellation that your agency should retain on file in case of questions. Substitutions may be made up to the day of the event. Lunch and breaks will be provided.

Hotel Reservations - AHHC has arranged a block of rooms for $159/night at the host hotel for the nights of 2/17 and 2/18:

Fairfield Inn & Suites Charlotte Uptown | 201 South McDowell Street, Charlotte, NC 28204Click to Make a Reservation | Book by 1/28/2020

Early Registration Deadline:January 24, 2020

Member Pricing

Home Health2/18/20

Hospice2/19/20 Both Days

Early-Birdby 1/24/20 $149 $149 $199

Regular $199 $199 $299

On-Site $229 $229 $359

Non-Member Pricing

Home Health2/18/20

Hospice2/19/20 Both Days

Early-Birdby 1/24/20 $199 $199 $299

Regular $229 $229 $359

On-Site $299 $299 $499

Make your selection below:Registration & Cancellation