webinar etiquette - hthu · florida updates & webinar closing - evelyn leadbetter, mpa, network...
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May 23, 2018
Webinar Etiquette
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UPCOMING EVENTS & EDUCATION
Medicare Webinar
June 13, 2018
10:00am Eastern/
9:00am Central
https://attendee.gotowebinar.com/register/2677068208942845699
FL Rural Webinar
June 27, 2018
11:00am Eastern/
10:00am Central
https://attendee.gotowebinar.com/register/4839994489875820803
Upcoming Healthcare Solutions & Best Practices Webinar Series
Mark your calendars!
SigmaMed IT Solutions on September 7th
Secure Records Solutions on September 21st
O’Brien & Feiler on October 12th
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DDE Training
DDE Training
with Medicare Expert Dale Gibson!3 - 1 Hour Training Sessions
Only $1200 per hospitaloptional add $150 for the video recording
Work through your claims in your own system! Learn expert tricks while cleaning up your Medicare claims!
“The entire DDE series has been beneficial for our team! Dale was able to answer questions, assist with problem claims and offer solutions through this training. It's worth it and we highly recommend it!”-DDE Program Participant
for HTHU Students who have completedPFS/Business Office Certifications
▪ June 14th - Healthcare Hospitality
▪ July 19th - Patient Access
▪ Aug 16th - Billing Specialist
▪ Sept 13th - Financial Counseling
www.hthu.net
2018 Recertification Webinars
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http://www.hometownhealthonline.com/event/2018-florida-conference/?instance_id=3995
• Rural Hospitals serve as the heart of health care in their community –
but they face significant challenges which threaten their survival and
the stability of the communities they serve.
• It is important that hospitals and other providers in each community
are able to come together to paint a picture of what is coming in the
near future, and what action items need to occur in order to remain the
heartbeat of their community.
• It’s time for our hospital leaders to get creative, to use the skills of
their team, to create solutions for their hospitals.
Creativity + Skill = Art
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6th Annual HOMETOWN HEALTH Florida Rural Hospital Conference
Webinar Evaluation
At the end of today’s webinar, a brief evaluation will pop up on your screen.Please take just a minute to answer the brief survey to let us know how we did, and how we can better serve you!
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Agenda
▪ Welcome & Introductions - Susannah Cowart, Director of Customer Relations – HomeTown Health, LLC
▪ Quality Payment Program Update - Tara McAdoo, Director - Healthcare Services Advisory Group (HSAG)
▪ Reimbursement Update - Dale Gibson, Medicare Specialist – Dale Gibson Consulting
▪ Updates & Insights: The Current Healthcare Climate – Jimmy Lewis, CEO – HomeTown Health, LLC
▪ Florida Updates & Webinar Closing - Evelyn Leadbetter, MPA, Network Services Manager – HomeTown Health, LLC
Susannah Cowart, Susannah Cowart, Director of Customer Relations
▪ Susannah joined Hometown in April 2013 as Customer Relations Coordinator for the Florida Division. A native of Tifton, Georgia, she attended Abraham Baldwin College and continued to Brenau Women’s College in Gainesville, Georgia. Serving in a critical access hospital for 8 years, Susannah has diverse healthcare experience in materials management, marketing and community relations. Susannah and her husband, Jake, currently reside in Sebring, Florida.
Susannah Cowart
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Tara McAdoo▪ Tara McAdoo, MSM is a Director at HSAG
where she leads Florida initiatives that impact the medical practices, acute care and critical access hospitals.
▪ She has lead quality improvement initiatives in Oregon, Georgia, and North Carolina QIO and has 16 years of practice administration, electronic health record technology implementation /training, and PQRS quality data reporting support.
▪ Throughout her career she has fostered great awareness to the needs of the physician and other providers in primary care and specialty practices. Her consultative expertise involves streamlining practice operations workflows, HIT optimization, building and sustaining community partnerships, implementing strategies to improving care delivery, coordination, and chronic disease prevention through awareness campaigns and education.
Dale Gibson; Medicare Consulting
▪ Dale Gibson started his own Medicare consulting business in 1997, and is now well-known among HomeTown Health’s network as the “Medicare Expert”. Dale began his healthcare care in 1980 as a Business Office Manager for a large hospital in Fort Walton Beach, FL that was part of Humana.
▪ He briefly worked for HHL in Miami Florida in 1989, before returning to Humana as a Corporate Consultant for Business Offices. In 1993, he became a Medicare Consultant through a merger with HCA. Dale completed his B.S. from Troy State University. He resides in Pensacola, Florida.
Dale Gibson
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Jimmy Lewis, CEO
▪ Jimmy Lewis has roots in rural South Georgia where he was born in Cordele, Georgia. He received a Bachelor's Degree in Industrial Engineering from Auburn. Jimmy has held senior management positions in six fortune five hundred companies. He has been instrumental in passing key rural legislation and regulation for hospital based nursing homes, state merit, PPS and critical access hospitals. Under his leadership, HomeTown Health has grown to a virtual company where 60+ hospital members and 60 business partners cumulatively have over $800 million in sales. HomeTown Health activities range from the identification of best practice solutions, to education, collective purchasing, developing managed care strategies, reimbursement advocacy, as well as legislative representation.
Jimmy Lewis
Updates & Insights: The Current Healthcare ClimateJimmy Lewis, CEO
HomeTown Health, LLC
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Federal
▪ 340B threat
▪ Obama exchange dismantlement
▪ General rural threat - 20% population minority
▪ Cost-to-charge efficiency penalty
▪ EMTALA - only hospitals must abide by (no to FQHCs and mental health treatment facilities)
▪ Opioid catastrophe
State▪ Very complex hospital tiered system
▪ Geographic to large system/small system
▪ Rural hospital stand-alone - Medicaid funding uncertainty
▪ Rural hospital reimbursement complexity
▪ Over 40 insurance platforms to administer
▪ Shortage of skilled providers due to reduced unemployment
▪ Shortage of skilled services
▪ Rural hospitals as economic development engines - does anyone other than hospital employees really care?
▪ Opioid catastrophe
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LOCAL
▪ Shortage of skilled services
▪ Fragmented tiered hospital systems -creates fragmented policy needs
▪ Elimination of non ROI services - L&D
▪ Opioid catastrophe
Solutions
▪ Telemedicine
▪ Education
▪ Diversification
▪ County Referendums
▪ Hospital Board Training
▪ Adoption of Standardized Proven Best Practices/Processes
▪ Focus on Employee Retention - Buy them pizza!
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Evelyn Leadbetter▪ Evelyn Leadbetter, MPA, joined the HomeTown
Health team in December, 2014. Evelyn completed her Bachelors in Business Administration at the University of North Georgia, as well as her Masters in Public Administration and Disaster Management at Georgia State University in Atlanta, Georgia.
▪ She also continued her graduate studies in Disaster Management at the Federal Emergency Management Agency’s Emergency Management Institute. Her experience in healthcare, emergency preparedness and com-munity support has enabled her to better serve as a HomeTown Health Florida community liaison.
▪ As an advocate for rural health growth, development and sustainability, Her experience in healthcare, emergency preparedness and community support has enabled her to better serve as a HomeTown Health's Network Services Manager.
May 2018 UpdatesEvelyn Leadbetter, MPA
Network Services Manager
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Codeine and Hydrocodone Cough & Cold Containing Products
Florida Medicaid, in response to the FDA safety guideline recommendations, will adopt the minimum age limitation of 18 years of age on codeine and hydrocodone containing prescription cough and cold medicines, effective May 14, 2018.
Source:
https://www.fda.gov/Drugs/DrugSafety/ucm590435.htm?utm_campaign=New
%20FDA%20Drug%20Safety%20Communication%20on%20prescription%20
opioid%20cough%20and%20cold%20medicines&utm_medium=email&utm_s
ource=Eloqua
May 2018 Florida Updates
AHCA Announces the Award of New Contracts for the Statewide Medicaid Managed Care Program
The Agency for Health Care Administration (Agency) announced its intent to award contracts to nine health plans as a result of the re-procurement of the Statewide Medicaid Managed Care (SMMC) program.
You can find additional details about this announcement by clicking the following link: http://b.ahca.myflorida.com/medicaid/statewide_mc/pdf/SMMC_Re-procure_Press_Release.pdf
May 2018 Florida Updates
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Administrative Simplification Basics: Transactions
Electronic transactions:
▪ Claims and encounter information
▪ Payment and remittance advice
▪ Claims status
▪ Eligibility
▪ Enrollment and disenrollment
▪ Referrals and authorizations
▪ Coordination of benefits
▪ Premium payment
May 2018 Florida Updates
▪ Recruiting and Retaining: Keeping the Valley healthy with its health care workforce – Chippewa Herald
▪ 2018 County Health Rankings Key Findings Report –Download Full Report
▪ ASPR TRACIE Fact Sheet
▪ Florida HIE Notification Service Delivers 7.5 Million Alerts, Expands to Include Hospital Subscribers
▪ FAQs on Reducing the Retroactive Eligibility Time Period
May 2018 Florida Updates
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This webinar will feature a special format in which ENS insiders will be sharing answers to frequently asked questions.
Thursday, May 24, 2018 at 12:00 PM EDT. Please register at:
https://attendee.gotowebinar.com/register/3462022756918132995
May 2018 Florida Updates
EHR Incentive Program
Meeting Meaningful Use in 2018
https://attendee.gotowebinar.com/register/635221242974890498
May 2018 Florida Updates
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May 2018 Florida Updates
Prestige Provider Alerts:
April (after we last met):
▪ Corrected Claims: Discontinue use of frequency code 6
▪ Billing update for dialysis providers
▪ Long-term care and mixed services claims
May 2018 Florida Updates
▪ Sunshine Provider Resources
▪ Sunshine Provider Training Information
▪ Sunshine Provider News
▪ WellCare Provider News
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Contact and Resource Information
HomeTown Health Florida Medicaid Information:
http://hthu.net/florida/
Susannah [email protected]
Evelyn [email protected]