EVENTS
2025 Hospice Financial Administration Conference
Speaker(s): Victoria Barron, MBA, BSN, RN, COS-C
Category: Hospice
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Speaker(s): Victoria Barron, MBA, BSN, RN, COS-C
About the Speaker(s)
With more than 37 years of nursing and healthcare experience, the majority of Victoria’s career has been in the home services arena including home health, hospice, home care, and home infusion where she has served in various roles. In home health and hospice, Victoria has served as agency administrator, interim administrator, clinical director, surveyor, mock surveyor, QAPI team member and consultant. Victoria has led and participated in the start-up of hospice, home care and home infusion agencies and has successfully led teams through the initial Certification and Accreditation process as well as renewals of existing Certification/Accreditations.
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About the Event
Thursday, October 16
1:00 pm – 2:15 pm
Hope Tool: Submission Compliance, Impact, and Public Reporting
Currently the “Hospice Outcomes and Patient Evaluation” (“HOPE”) tool is scheduled for implementation on October 1, 2025. Significant financial penalties will be imposed for those hospices not meeting the requirements for submission. This interactive session will address the HOPE timepoints, including clarification of sequencing and submission guidance, HOPE impact on the 2027 and 2028 annual payment update (“APU”), and the timeline for public reporting. The timing of this program will allow attendees to provide feedback on their early success, challenges, troubleshooting and corrections.
2:30 pm – 4:10 pm
Conditions of Participation vs. Conditions of Payment; Understanding the Difference
While the “State Operations Manual Appendix M – Guidance to Surveyors: Hospice” provides guidance to ensure hospices are compliant with the Hospice conditions of participation and related standards for survey readiness, hospices must also ensure documentation meets the hospice benefit coverage requirements to ensure claims are paid and/or not recouped under medical review audits. This session discusses the difference between the hospice conditions of payment and conditions of participation to ensure your agency is always survey ready and ADR/medical review audit ready. Discussion will provide tips for compliance, frequent denial reasons, and tips for survey readiness.
Friday, October 17
10:45 am – 12:00 pm
Hospice Audits and Documentation: TPE, CERT, SMRC
Being prepared for a hospice medical review audit regardless of type such as TPE, PPEO, SMRC, UPIC or RAC will ensure timely submission of documents and protect your agency’s bottom line. From pre-payment denials to post-payment recoupment of payments, this session will cover all types of medical review audits and provide documentation “musts” tips, as well as guidance to “audit proof” your claims.