Stop by our booth in the exhibit hall to meet our team members and learn how CareVention solutions can partner with you for PACE success.
Deep Dive into CMS Application Requirement and Process (PACE Basics Workshop) – Sharon Hilton, Senior PACE Consultant, CareVention HealthCare – 3:00-4:00 p.m. (ET), Ocean Promenade East, Upper Lobby Level
It’s a (Gray) Matter of Fact: Updates in the Management of Neurocognitive Disorder – Jessica DiLeo, PharmD, BCGP, BCACP, CMWA, FAzPA, Senior Manager, Learning & Development, Tabula Rasa HealthCare; Robert L. Alesiani; PharmD, CMWA, Chief Pharmacotherapy Officer, Tabula Rasa HealthCare, and Rengena Chan-Ting, DO, CMD, FACOI, Medical Director, Trinity Health LIFE – 10:00-11:30 a.m. (ET), Splash 13-14, Upper Lobby Level
Description: Neurocognitive disorder, previously known as dementia, is a general term used to describe conditions characterized by a decline in cognitive abilities severe enough to interfere with independence and everyday activities. Neurocognitive decline has physical, psychological, social and economic impacts for the individual, family and caregivers. This session will review the epidemiology, pathophysiology, and types of neurocognitive disorder and compare non-pharmacotherapy and pharmacotherapy treatment options, including recently approved treatment options, such as lecanemab.
Surviving and Thriving through Three Years of CMS Audits: A Behind the Scenes Look at Successful Preparation – Jennifer Ovide, Senior PACE Consultant, CareVention HealthCare; Rena Smith, MPA, Executive Director, Gary and Mary West PACE; Kannamma Kannan, MS, Quality Improvement and Compliance Director, Gary and Mary West PACE – 8:00-9:00 a.m. (ET), Ocean Promenade East, Upper Lobby Level
Description: This session will review the importance of audit preparation and provide a detailed behind-the-scenes look at how you can set up your program for success before, during and after your CMS audit. We will review what to expect when you get your audit notification and how to organize your information, including proactively setting up internal folders to allow for simplification once document and information requests start coming in from CMS.
Clear the Fog: A Guide to Better Documentation – George W. Brett, MD, Senior Vice President Consulting Services, Chief Medical Officer, CareVention Risk Adjustment Services; Sarah Thorne-Smith, DO, Internal Medicine Physician, Cherokee Elder Care; Angeline Winiarski, Manager, Quality Assurance Team, CareVention Risk Adjustment Services – 8:00-9:00 a.m. (ET), Splash 13-14, Upper Lobby Level
Description: Comprehensive and specific documentation improves the quality of care for participants. However, provider documentation on the assessment often is too vague to assign an ICD-10 code, resulting in coders querying the provider for more information, adding to everyone’s workload and delaying critical data submission. This session will use (de-identified) chart examples to show examples of commonly seen errors in documentation and explain how adding specificity can better convey an accurate picture of a participant’s medical conditions.
A Balance of Rights: The Right to Access Specialists for Care vs. Doing the Right Thing for the Participant – David Wilner, MD, FACP, AGSF, Senior Medical Consultant, CareVention Risk Adjustment Services; Mark A. Wiles, MD, Midland Care; Trina Wood, APRN, Midland Care – 9:30-10:30 a.m. (ET), Flicker 2, 4th Floor
Description: PACE allows the PCP and other clinicians to practice Intensive primary care. In this model the PCP leverages all their skills, expertise, time and the IDT to evaluate and manage most of the common conditions present in PACE participants. However, a 2021 update to PACE regulations stipulates that PACE participants should have “reasonable and timely access to specialists as indicated by the participant’s health condition.” Balancing these rights is a concern for PACE medical directors, PCPs and leadership. Our session will describe best practices around collaborating with specialists, including the options of e-consults and telehealth, that equip PACE PCP to leverage specialist colleagues.
No ADL Impairment on the HOS-M Survey? Really? – Indira Kanouka, MD, Senior Medical Consultant, CareVention Risk Adjustment Services; Jan Deyber, CRN-C, Senior Client Service Liaison, CareVention Risk Adjustment Services; Cathy Pohl, PACE of Southwest Michigan – 10:45 a.m. (ET), Flicker 3, 4th floor
Description: The Health Outcome Survey (HOS-M) is administered annually by CMS to vulnerable Medicare patients enrolled in PACE organizations. These individuals are at the greatest risk for poor health outcomes. The survey assesses the frailty of PACE participants and adjusts plan payments accordingly. This session will discuss regulation and best practices for improving compliance with and accuracy of the survey.