Louisiana Rural Health Summit

During this talk we'll discuss the basics of RHC compliance, the most commonly seen deficiencies and learn tips on how to avoid those deficiencies.

Learning Objectives

1. Understand RHC regulations
2. Know the most commonly seen RHC deficiencies seen on survey
3. Learn tips to stay in compliance

After this session, attendees will be able to stay survey ready at all times!

This presentation shows providers how to increase revenue over and above the standard PPS rate for services they provide on a daily basis and increase the quality of care for their patients.

Learning Objectives

• Be aware of incentive opportunities
• Be aware of CPT Category II codes
• Be aware of Continuity of Care program for their high-risk members.

After this session, attendees will be able to implement workflows to improve efficiency and increased revenue.

Rural providers face numerous regulatory challenges that can lead to significant compliance risks. This presentation will provide rural providers with the tools and strategies necessary to develop an effective compliance work plan. Attendees will learn how to identify, assess, and mitigate compliance risks, ensuring their organizations remain in alignment with the latest regulatory requirements. Through practical insights and real-world examples, participants will gain an understanding of how to create a dynamic compliance work plan tailored to their organization's needs.

Learning Objectives

• Understand how to assess and prioritize compliance risks.
• Be able to develop compliance interventions to address their compliance vulnerabilities.
• Have the tools to update and document their compliance efforts.

After this session, attendees will be able to have the ability and tools to update and strengthen their compliance documentation.

This presentation will discuss how utilizing the Center for Medicaid and Medicare Service federally funded statewide Navigator program can increase reimbursable rates and revenue for patient services by moving uninsured patients from sliding scale cash payments, financial assistance and/or write off expenditures to a revenue generating payment stream. Rural health providers will learn how revenue and access to care can be increased by connecting uninsured patients and those who lose Medicaid or employer-based coverage to a local federal CMS Certified Marketplace Navigator. Navigators provide free one-on-one assistance with educating on Marketplace options, applying, choosing a plan their existing healthcare provider accepts, filing appeals, and mediating Medicaid and/or Marketplace plan issues. Education will be provided on how Navigators can assist patients with maintaining coverage thus preventing coverage gaps, on clinical coverage to care steps and how to change to a health plan accepted within the clinic/hospital networks to increase patients’ utilization of reimbursable services and preventive care.

Learning Objectives

• Explain and explore affordable federal Marketplace Health Insurance Plans and resources available to patients who are uninsured, not income ineligible for Medicaid, and/or have lost either Medicaid or employer-based coverage.
• Identify the benefits, cost savings, and revenue generating resources available through utilizing the statewide federally funded Marketplace/Medicaid Health Insurance Navigator network to move uninsured patients from sliding scale cash payments, financial assistance and/or as write off expenditures to reimbursable Marketplace Health Insurance options.
• Learn how to refer patients to a local CMS Certified Navigator for free remote Navigator assistance with checking eligibility, updating existing accounts to maintain coverage, and applying for a Marketplace, Medicaid or LaCHIP Health Insurance Plan through utilizing the Navigator easy and fast direct referral process.

After this session, attendees will be able to:

1. Implement Best Practices: Integrate best practices for ensuring patients have access and obtain affordable health insurance either from the Health Insurance Marketplace and/or Medicaid by connecting to a local CMS Certified Navigator for free one-on-one individual confidential eligibility and application assistance.
2. Promote Educational Opportunities: Provide education to rural healthcare staff and patients about the Health Insurance Marketplace coverage available to all Louisiana residents who do not have Medicaid and/or employer-based insurance coverage.
3. Engage in Program Partnerships: Establish a partnership with the federally funded CMS Navigator program for submitting patient referrals to their local CMS Certified Navigator to increase insured patient rate and revenue streams.

This session which is designed for managers and directors will discuss RHC reimbursement methodologies and cost reporting. The overall objective of the content will be to educate and empower RHC leaders so they can be more proactive in managing their RHC revenue and reimbursement.

Learning Objectives

• Be able to explain how RHC reimbursement is calculated and the impact of cost reporting on the all-inclusive rate.
• Be able to interpret key data points on the RHC Medicare cost report
• Be empowered to proactively gather cost report data and to strategically model RHC rates

After this session, RHC managers and directors will be able to take a more active role in the preparation of their cost reports.

This presentation explores the diverse pipeline programs aimed at inspiring and preparing students for careers in healthcare. By partnering with healthcare facilities, hospitals, and clinics, these programs provide hands-on experiences, mentorship, and exposure to various healthcare environments, particularly in rural primary care settings. The presentation will cover key programs such as AHEC of a Summer, Camp Fast Forward - Health Careers Exploration, Future Health Heroes, AHEC Scholars, and the Primary Care Elective Course 120. These initiatives serve students from middle school to medical school, focusing on building a robust future healthcare workforce.

Learning Objectives

• Gain insights into the structure, objectives, and outcomes of each pipeline program.
• Identify effective strategies for engaging students in healthcare careers through experiential learning and mentorship with hospitals and clinics.
• Learn methods to sustain and expand these programs through collaboration with healthcare facilities, addressing workforce shortages in rural areas. Discover how healthcare facilities can actively participate and support these initiatives.

After this session, attendees will be able to:

1. Implement Best Practices: Attendees will be encouraged to integrate best practices from the pipeline programs into their own facilities to foster student interest and preparedness in healthcare careers.
2. Engage in Program Partnerships: Facilities are invited to actively participate in and promote programs to support the development of the healthcare workforce.
3. Promote Experiential Learning Opportunities: Healthcare organizations are called to offer mentorship and experiential learning opportunities, particularly in rural primary care settings, to address workforce shortages.

Well-Ahead Louisiana understands that it is difficult to recruit and retain healthcare staff in rural areas. This session will highlight multiple programs that you can participate in that will increase your workforce.

Learning Objectives

• Be able to describe how Well-Ahead Louisiana increases access to rural healthcare
• Have enhanced knowledge of Well-Ahead Louisiana’s Rural Healthcare Workforce Development Programs
• Discover how to apply for Well-Ahead Louisiana’s Rural Healthcare Workforce Development Programs

After this session, attendees will be able to: register for recruitment programs immediately and join the Provider Education Network to gain access to tools, training, and technical assistance.