Advanced Applications of Home-Based Primary Care-Virtual Workshop-June 2021 AAHBPC Day Two Slides

June 2021 AAHBPC Day Two Slides
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<h3>Virtual Workshop Summary: Advanced Applications of Home-Based Primary Care</h3><br /><br /><strong>Date & Session Information:</strong><br />- <strong>Date:</strong> June 25, 2021<br />- <strong>Main Topic:</strong> Advanced Applications of Home-Based Primary Care<br />- <strong>Sessions Include:</strong> Quantifying the Value of Your Practice, Hierarchical Condition Category (HCC) Scoring, Wound Care, Working with Specialists, Evaluating Productivity and Staffing, Procedures Common in the Home & Coding for Procedures, Advanced Coding, and more.<br /><br /><strong>Key Highlights:</strong><br /><br />1. <strong>Quantifying the Value of Your Practice:</strong><br />   - Focus on maximizing capitated payments, understanding risk contracts, and building payer relationships.<br />   - Detailed steps to assess and improve clinical models for value-based contracts.<br />   - Case study on a community-dwelling patient, "Minerva", was used to illustrate financial and clinical management under various reimbursement models.<br /><br />2. <strong>Hierarchical Condition Category (HCC) Scoring:</strong><br />   - Explanation of HCC risk adjustment and its importance for home-based primary care providers.<br />   - Strategies for accurate documentation and coding to reflect patient severity and obtain appropriate capitated payments.<br /><br />3. <strong>Wound Care Management:</strong><br />   - Detailed discussions on staging, assessing, and treating pressure ulcers.<br />   - Emphasized the importance of documentation and the types of dressings and treatments suitable for different wound stages.<br /><br />4. <strong>Working with Specialists:</strong><br />   - Challenges faced by HBPC providers in securing specialty care.<br />   - Guidelines on when to treat conditions in-house versus referring to a specialist.<br />   - Effective strategies for care coordination and maintaining relationships with specialists.<br /><br />5. <strong>Evaluating Productivity and Staffing:</strong><br />   - Considerations when developing and expanding a team.<br />   - Staffing models for interdisciplinary care teams and efficient productivity standards for home and clinic-based services.<br /><br />6. <strong>Common Procedures in Home-Based Practices:</strong><br />   - Demonstrations and discussions of tracheostomy tube changes, gastrostomy tube replacements, and knee joint aspirations/injections.<br />   - Appropriate coding and documentation practices to ensure accurate billing.<br /><br />7. <strong>Advanced Coding and Practice Sustainability:</strong><br />   - Detailed guidelines on Chronic Care Management (CCM), Transitional Care Management (TCM), and other critical billing opportunities.<br />   - Strategies to avoid common pitfalls in documentation and coding, and the financial impact of accurate billing on practice profitability.<br /><br />8. <strong>Additional Coding Opportunities:</strong><br />   - Focus on Advance Care Planning (ACP), Care Plan Oversight (CPO), and Home Health Certifications.<br />   - Implementation considerations, documentation standards, and the importance of leveraging available billing codes for more comprehensive care management and revenue enhancement.<br /><br /><strong>Key Takeaways:</strong><br />- Effective management of clinical and business models is essential for the sustainability of home-based primary care practices.<br />- Proper documentation, accurate coding, and thorough understanding of reimbursement models can significantly impact financial outcomes.<br />- Ongoing education and adaptation to policy changes will help providers optimize care delivery and maintain compliance.<br /><br />The workshop emphasized the importance of strategic planning, interdisciplinary collaboration, and continuous learning to enhance the delivery and efficiency of home-based primary care.
Keywords
Home-Based Primary Care
HCC Scoring
Wound Care
Specialist Coordination
Productivity Evaluation
Common Procedures
Advanced Coding
Chronic Care Management
Transitional Care Management
Billing Opportunities