Decoding Palliative Care Program, Its Beneficiaries, Payer Sources and Misuse Concerns

Event Information
Product Format
Prerecorded Event
60 minutes
Product Description

Palliative Care Program – How it’s Different from Hospice


Palliative care is a growing area of interest for home health and hospice providers. Many chronic patients who are not yet "terminally ill" can benefit from palliative care. There is evidence showing that palliative care can reduce hospitalizations and ER utilization, both key metrics for providers in the world of value-based purchasing.

However, because they are not terminally ill and may not be homebound, these patients do not fit into a category for Medicare or Medicaid purposes. This not only presents a concern related to how to make this work as a business model but raises other concerns as well. For example, how do we avoid fraud and abuse issues that arise in the context of providing services for free? Other challenges include determining what type of services these are, what license to obtain, and more.

This informative session with expert speaker Robert W. Markette, Jr., CHC will look at issues related to establishing a palliative care program, including payer sources, compliance concerns, licensure matters and even the use of physician services. This event will look at what palliative care looks like in a homecare setting. Robert will consider whether these services are hospice services, home health services or physician services. He will then look at compliance issues that can arise when providing these services. Robert will also review potential payer sources including Medicare, Medicaid and third parties. The event will focus on this service as one an ACO or hospital might pay for as a means to improve certain outcomes.

Session Highlights:

  • Palliative care, is it home health, hospice or something else?
  • Palliative care, why Medicare may not pay for it? Hint-not all of the patients are eligible.
  • How does palliative care benefit patients and why is this important in the world of health care reform?
  • Who does pay for these services?
  • What are the risks of providing this care for free?
  • How do you market a palliative care program?
  • What benefits does it provide to the home health or hospice provider?
  • What, if any, involvement might physicians have?

Session Agenda

  • The reasons for growth in palliative care
  • Where palliative care fits on the healthcare continuum
  • Payment sources for palliative care
    • Medicare
    • Insurance
    • Private Pay
  • Regulatory issues under home health/ hospice
  • Federal fraud and abuse laws that might apply
    • Palliative care and AKS/Stark
    • Palliative care and CMP
  • Issues with physician services
  • Palliative care through ACO

Who should attend?

  • Owners
  • Managers
  • Administrators
  • Marketing personnel
  • Compliance staff

Order Below or Call 1-844-384-4744 Today

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About Our Speaker

Robert W. Markette - Home Care Expert

For more than a decade, Robert W. Markette, Jr., CHC, has focused his practice on representing home health, hospice, private duty and DME providers in all aspects of their operations. With more than a decade of experience in working with these industries, Robert has developed a reputation for understanding the operational, compliance and legal/regulatory issues facing homecare providers.

In representing the homecare industry, Robert...   More Info
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