Session Information

Perspectives on Home Care and Managed Care: A Dialogue.
8:45 - 10:45 a.m. - An interactive session featuring a panel of managed care representatives, who will discuss their organizations' use of and experience with home care, after which a panel of agency representatives will present the challenges and opportunities they have encountered in delivering services to managed care clients. Following initial comments, a moderator will guide discussion between the two groups and field questions from the audience.

Objectives:

• Describe MC plans’ views of home health services.
• Outline ways to meet the many and varied challenges that home health agencies face in providing services to beneficiaries.

Faculty: Jennifer Lee, National Senior Consultant, Kaiser Foundation Health Plan, Oakland, CA; Kristy A. Wright, President/CEO, VNA of Western PA, Butler, PA; Others TBA

Course Level: Intermediate; 2.4 nursing CEs (MNA approval pending); 2.0 CPEs (NASBA/SocEnvBus)

Adapting and Managing Home Care Operations for Managed Care.
11 a.m. - 12:30 p.m. - Home care agencies are finding that unique requirements accompany their arrangements with MC entities; these new responsibilities frequently call for operational and staffing changes to meet preauthorization rules, bill correctly, coordinate and report on care, and handle appeals. This session will provide direction into the types of operational changes that may be needed (and their implications for staffing) as agencies adapt to ensure a smooth interface with MC organizations.

Objectives:

• Manage and adapt your agency’s operations to function optimally in a MC environment.
• Describe organization changes needed to effectively interface with MC organizations.
  

Faculty: Ingrid Jimenez, Vice President for Acute Care Operations, VNS of New York, New York, NY; Walter W. Borginis III, CPA Executive Vice President-Finance and Administration and Chief Financial Officer The Visiting Nurse Association of Greater Philadelphia Philadelphia, Pennsylvania

Course Level: Intermediate; 1.8 nursing CEs (MNA approval pending); 1.0 CPE (NASBA/SocEnvBus)

Costing Out and Pricing Home Care Services.
1:30 - 3 p.m - One of the most serious mistakes a home care agency can make is underestimating the value (and cost) of the services it provides. Accurately determining the cost of providing services can be particularly thorny when an agency contracts with a MC entity by the visit, but otherwise delivers care (and views expenses) on an episodic basis. This session is designed to provide in-depth guidance on methods to accurately determine costs for providing care.

Objectives:

• Discuss how to price and cost-out your agency’s services.
• Describe methods to accurately determine costs for providing care.

Faculty: Ken McNulty; Vice President of Finance, VNA of Boston; Boston, MA

Course Level: Intermediate; 1.8 nursing CEs (MNA approval pending); 1.0 CPE (NASBA/Mkt)

Legal Issues in Contracting with Managed Care Organizations.
3:15 - 4:45 p.m. - Once an agency has determined the types of administrative and staffing changes that must be made and the costs it will incur in delivering services under a MC model, the final challenge is to navigate the contracting process to ensure that the best interests of the agency are protected. This session will explore the many issues to consider when entering into a contract with a MC plan, with particular emphasis on essential elements to include in contracts, as well as clauses to watch out for.

Objectives:

• Discuss legal issues in contracting with MC organizations.
• Identify essential elements to include in contracts.

Faculty: William A. Dombi, Esquire; Director, Center for Health Care Law; National Association for Home Care & Hospice; Washington, DC

Course Level: Intermediate; 1.8 nursing CEs (MNA approval pending); 1.0 CPE (NASBA/SKA)

CONTINUING EDUCATION CREDITS:

Continuing education credits will be available; each session will carry credits for nurses and for accountant CPAs. Nurse attendees can earn a maximum of 7.4 CEs and accountants up to 5 CPE credits. All programs are presented in a group-live format. No pre-requisites or advance preparation is required for this conference.

Continuing Education for Nurses & Accountants
Continuing education credits for nurses has been applied for through the Maryland Nurses Association accredited as an approver of continuing education for nurses by the American Nurses Credentialing Center’s Commission on Accreditation. Many states have reciprocity agreements and will accept the contact hours approved by the Maryland Nurses Association. In addition, some accrediting organizations representing other disciplines have reciprocity agreements. If you have questions, please contact the Maryland Nurses Association at (410) 944-5800.

Provider (National Association for Home Care & Hospice) is approved by the California Board of Nursing, Provider Number 10810, for 7.4 contact hours. Most states have reciprocity agreements and will accept the contact hours for educational programs. In addition, some accrediting organizations representing other disciplines may also have reciprocity agreements.

NAHC is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE sponsors. (Sponsor ID #104616) In accordance with the standard of the National Registry of CPE Sponsors, CPE credits are granted based on a 50 minute hour. State boards of accountancy have final authority awarding CPE credits. Complaints regarding registered sponsors may be addressed to:

National Registry of CPE Sponsors
150 Fourth Avenue North, Suite 700
Nashville, TN 37219-2417

or by visiting the website www.nasba.org.

Field of Study (FOS) is indicated following the CPE information for all accounting-accredited programs.

The Fields of Study are:

The CPE Fields of Study curriculum is divided into twenty-three subject matter areas. They are Accounting, Accounting (Governmental), Auditing, Auditing (Governmental), Administrative Practice, Social Environment of business, Regulatory Ethics, Business Law, Business Management and Organization, Finance, Management Advisory Services, Marketing, Behavioral Ethics, Communications, Personal Development, Personnel/HR, Computer Science Economics, Mathematics, Production, Specialized Knowledge and Applications, Statistics and Taxes. These fields represent the primary knowledge and skill areas needed by accounting licensees, to perform professional services in all fields of employment.

For more information regarding administrative policies such as a complaint or refund, contact our offices at (202) 547-7424 or by email at meetings@nahc.org.

Prerequisite or advance preparation is not required for educational programs at this conference on managed care.

Note: To be eligible for CEs, you must attend the entire program in order to have that program on your documentation. If you exit the session prior to its conclusion, you will not be eligible for CE credits.

CE "Easy Swipe"
Your registration materials will include a magnetic card (similar to a credit card) that you will simply swipe as you enter your desired sessions to obtain CE credits.
Please keep in mind the following CE policies, which have not changed:

• Cards must be swiped before going into a session.
• Accountants must swipe and sign your name on the sign-in sheet at each session to receive proper credit.
• To be eligible for CEs, you must attend the entire session and submit an evaluation in order to have the session appear on your certificate.
• If you arrive for the session more than 15 minutes after the scheduled start time, you will not be eligible for CE credits for that session.
• If you leave early, you will not be credited for the session.
  CE certificates can be picked up at the registration desk 30 minutes after your final course.
• There will be a $15 fee for replacement certificates.