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Maryland-National Capital

Homecare Association

Home Health Reimbursement Workshop

  • Wednesday, November 29, 2023
  • 9:00 AM - 4:00 PM

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Home Health Reimbursement Workshop

This workshop will take agencies through the significant updates to the PDGM reimbursement model  and move through all the aspects of home health reimbursement.

This workshop is just what is needed to get you up to date on all things Home Health Reimbursement.

  • Program Goals: Day to Day Revenue Cycle Under PDGM
  • Evaluate the PDGM Structure
  • Detail the significant impact of Intake on Revenue Cycle
  • LUPA, PEP, Calculations
  • Details of Billing RAP & Final Claim
  • OASIS & Coding Impact on Reimbursement
  • Brief overview of VBP & OASIS-E
  • Detail Credentialing with Managed Care & Issues surrounding getting paid
  • Medical Review - all contractors
  • PEPPER Reports - monitoring and evaluating 

Presenter

Melinda A. Gaboury, COS-C

CEO - Healthcare Provide Solutions

Melinda A. Gaboury is co-founder and Chief Executive Officer of Healthcare Provider Solutions, Inc. (HPS). Melinda Gaboury and Mark Cannon founded the company in April 2001 to provide financial, reimbursement, billing, operational and clinical consulting to the home care and hospice industries.

Melinda A. Gaboury, with more than 30 years in home care, has over 22 years of executive speaking and educating experience, including extensive day to day interaction with home care and hospice professionals. She routinely conducts Home Care and Hospice Reimbursement Workshops and speaks at state association meetings throughout the country. Melinda has profound experience in Medicare PDGM training, billing, collections, case-mix calculations, chart reviews and due diligence. UPIC, RA, ADR & TPE appeals with all Medicare MACs have become the forefront of Melinda's current impact on the industry. She is cuttrently serving as the Chair of NAHC/HHFMA Advisory Board and Work Group and is currently serving on the Board of Directos for both the Home Care Association of Florida & Tennessee Association for Home Care. Melinda is also the author of the Home Health OASIS Guide to OASIS-E and Home Health Billing Answers, 2023.

Learn more about the event click here.

This webinar is eligible for 6 Nurse Contact Hours.

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