Gaboury, Melinda
2021 & Beyond - RAP Phase Out
[3464] 2021 & Beyond - RAP Phase Out
Ready for 5-day, no-pay RAPs in 2021?
Presentation Info:
TAHC&H Virtual Event | Administrator Program | Recorded for On-Demand Access
Presentation Date | November 19, 2020
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.5 Clock Hr(s)
CE Approval Statements:
· This program meets continuing education requirements
for Administrators and Alternates under Texas HCSSA licensing regulations.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][3]basic principles of management in a licensed health-related setting
§558.260[a][7]financial management
Program Description: There are significant changes that are going to occur in 2021 and 2022 with the Phasing out of the RAP and
the introduction of the Notice of Admission. RAPs will have NO associated reimbursement in 2021, but will carry a monetary penalty if not filed timely. The Notice of Admission
completely eliminates that RAP and carries a penalty that could erase all payments for the entire time you have cared for the patient! Preparation is KEY!
Program Learning Objective(s): Participants will actively engage in the activity and will indicate an intent to change their practice
by identifying the 2021 RAP requirements, including timeliness parameters, the 2022 Notice of Admission and the impact of PreClaim Review of the Review Choice Demonstration.
TAHC&H Faculty/Presenter(s): Melinda Gaboury | COS-C, Chief Executive Officer, Healthcare Provider Solutions, Inc.
About the Presenter(s):
Melinda A. Gaboury, with more than 28 years in home care, has over 18 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 currently serving on
the NAHC/HHFMA Advisory Board and Work Group and is Associate Director on the Home Care Association of Florida Board of Directors. Melinda is also the author of the
Home Health OASIS Guide toOASIS-D1.
[3464] 2021 & Beyond - RAP Phase Out
- Speaker
- Gaboury, Melinda
- Model
- 3464
$45.00
2025 Home Health Proposed Rule | What does the future hold?
[3864] 2025 Home Health Proposed Rule | What does the future hold?
This presentation provides a detailed review of the 2025 Proposed Rule for Home Health.
Presentation Info:
TAHC&H Event | 55th Annual Conference | Rich-Media Presentation Capture | Online On-Demand Access
Presentation Date | September 11, 2024
Program Description: This presentation provides a detailed review of the 2025 Proposed Rule for Home Health.
The many changes that are set to be implemented for 2025 will be reviewed with best practices for implementation. It includes the changes proposed & finalized to be implemented January 1, 2025
for the HH Value Based Purchasing Expansion. The significant rate changes and updates to the wage index & case mix weights will also be highlighted.
Lastly a quick review of the Requests For Information that were included in this rule be conducted.
HCSSA Topic(s) Addressed:
§558.260[a][3]basic principles of management in a licensed health-related setting
§558.260[a][5]quality improvement
§558.260[a][6]risk assessment and management
§558.260[a][7]financial management
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.0 Clock Hr(s)
Continuing Education for Nurses
1.0 Contact Hr(s)
This program awards CNE until 9.11.2026
Texas HCSSA CE Approval Statement
This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
Nurse CE Approval Statement
Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by Louisiana State Nurses
Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. LSNA Provider No. 4002151
Requirements for Successful Completion
To receive continuing education credits for this online presentation participant must view the entire online presentation, complete an evaluation, and post-test attestation.
Reporting of Perceived Bias
Bias, as defined by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC COA/LSNA) is the “tendency or inclination to cause partiality, favoritism, or influence.”
Commercial bias may occur when a CNE activity promotes one or more product(s) (drugs, devices, services, software, hardware, etc.). This definition is not all inclusive and participants may use
their own interpretation in deciding if a presentation is biased. The ANCC COA is interested in the opinions and perceptions of participants at approved CNE activities, especially in the presence
of actual or perceived bias in continuing education. Therefore, ANCC invites participants to access their “ANCC Accreditation Feedback Line” to report any noted bias or conflict of interest in the
education activity. The toll free number is 1(866) 262-9730.
TAHC&H Faculty/Presenter(s): Melinda Gaboury, COS-C, Chief Executive Officer, Healthcare Provider Solutions, Inc.
About the Presenter(s): Melinda A. Gaboury, with more than 28 years in home care, has over 18 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 currently serving on the NAHC/HHFMA Advisory Board
and Work Group and is Associate Director on the Home Care Association of Florida Board of Directors. Melinda is also the author of the Home Health OASIS Guide to OASIS-D1.
[3864] 2025 Home Health Proposed Rule | What does the future hold?
- Speaker
- Gaboury, Melinda
- Model
- 3864
$30.00
Achieving Efficiencies in Back Office Staffing & Structure
[2662] Achieving Efficiencies in Back Office Staffing & Structure
Education-Training Credits:
1.00 Hr(s) HCSSA Administrator/Alternate
Summary: How to measure & control back office costs.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][7]financial management
Faculty: Gaboury, Melinda
Program Description: Having and efficient back office that is accountable to key performance
metrics is a key component to financial wellbeing. As
an administrator, you are responsible for “implementing an
accounting and budgeting system that promotes the health and
safety of the agency’s clients” (TAC §558.243).
This program presents
the cost indicators that must be understood in making operational
decisions, items needed to develop billing performance
measures that hold the billing department accountable and detail
items to review in order to evaluate your back office structure.
Supervising nurses may also benefit from a working knowledge
of back-office processes to improve collaboration between billing
and clinical aspects of patient care. Presentation Date: 11.18.2014
Program Objectives: Upon completion of this program, the viewer will be able to:
Identify the cost indicators that must be understood in making operational decisions regarding back office staff
Develop billing department performance measures
Detail items to review to evaluate back office structure
About the Presenter:
Melinda Gaboury, COS-C, is co-founder and Chief Executive Officer of Healthcare Provider Solutions, Inc.
(HPS). Melinda and Mark Cannon founded the company in April 2001 to provide financial, reimbursement, clinical
and cost reporting services to the home health industry. She has over 20 years’ experience in Medicare Home
Health Reimbursement and has remained on the cutting edge of Medicare PPS since the regulation’s inception.
She has helped her clients bridge the gap between clinical and financial issues and has been a seminar and
webcast presenter for 20+ State Home Care Associations. She is also the author of “Home Health Pocket Guide
to OASIS-C.”
[2662] Achieving Efficiencies in Back Office Staffing & Structure
- Speaker
- Gaboury, Melinda
- Model
- 2662
$30.00
Advanced Concepts in Finance: Revenue Cycle Management
[3134] Advanced Concepts in Finance: Revenue Cycle Management
You can’t afford to ignore this presentation as it dissects the home health revenue cycle.
TAHC&H CONFERENCE RECORDING: This program was presented on 11/12/2018 at the Texas Association of Home Care
& Administrator Program in Houston. It is one of 15 presentations captured and produced for online access. Subscribers
receive 24/7 on-demand access from both home and office during the subscription period shown at the bottom of this page.
Presentation Info:
Presentation Date: November 12, 2018
TAHC&H Event: TAHC&H HCSSA Administrator Program | Houston
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.75 Clock Hrs
CE Approval Statements:
· This program meets continuing education requirements
for Administrators and Alternates under Texas HCSSA licensing regulations.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][7]financial management
Program Description: Management of the home health revenue cycle is an evolving challenge
and must be effective. Cash flow optimization efforts must be balanced against compliance threats. The complexity of the revenue cycle
continues to change with the onslaught of new payers. When processes are not effectively managed the agency’s cash flow can suffer significantly.
The CMS Targeted Probe and Educate (TPE) initiative and the possible implementation of the Review Choice Demonstration
has heightened the potential risks of poor revenue cycle or documentation management practices.
You can’t afford to ignore this presentation as it dissects the home health revenue cycle.
Program Learning Outcome:
Participants will actively participate in the learning activity and apply best practices for documentation management processes.
TAHC&H Faculty/Presenter: Melinda Gaboury, COS-C, CEO, Healthcare Provider Solutions
About the Presenter:
Melinda Gaboury with more than 27 years in home care, has over
17 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 PPS training, billing, collections, case-mix calculations, chart reviews and due diligence.
ZPIC, RA, ADR & TPE appeals with all Medicare MACs have become the forefront of Melinda’s current impact on the industry. She is currently
serving on the NAHC/HHFMA Advisory Board as ex-officio and is Associate Director on the Home Care Association of Florida Board of Directors.
Melinda is also the author of the Home Health Pocket Guide to OASIS-C2: A Reference for Field Staff.
[3134] Advanced Concepts in Finance: Revenue Cycle Management
- Speaker
- Gaboury, Melinda
- Model
- 3134
$52.50
Advanced Concepts in Operations
[3566] Advanced Concepts in Operations
Presentation Info:
TAHC&H Event | HCSSA Administrator Conference | Recorded for On-Demand Access
Presentation Date | November 16, 2021
Program Description: Coming Soon!
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][3]basic principles of management in a licensed health-related setting
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.25 Clock Hr(s)
Texas HCSSA CE Approval Statement
This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
TAHC&H Faculty/Presenter(s): Melinda Gaboury, COS-C, Chief Executive Officer, Healthcare Provider Solutions, Inc.
About the Presenter(s):
Melinda Gaboury, with more than 28 years in home care, has over 18 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 currently serving on the NAHC/HHFMA Advisory Board and Work Group and is Associate
Director on the Home Care Association of Florida Board of Directors. Melinda is also the author of the Home Health OASIS Guide toOASIS-D1.
[3566] Advanced Concepts in Operations
- Speaker
- Gaboury, Melinda
- Model
- 3566
$37.50
Clinical Services Mgmnt: What Works to Improve HH Value-Based Purchasing Performance?
[3053] Clinical Services Management: What Works to Improve Home Health Value-Based Purchasing Performance?
Education-Training Credits:
1.25 Hr(s) HCSSA Administrator/Alternate
Summary: Clinical practices that make a difference in HHVBP scoring.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][3]basic principles of management in a licensed health-related setting
§558.260[a][5]quality improvement
§558.260[a][7]financial management
Faculty: Melinda Gaboury
Program Description: With Home Health Value Based Purchasing (HHVBP)
going strong in the 9 demonstration states it is a forgone conclusion that HHVBP will become a nationwide reality. The core goal of
HHVBP is to reach the best practical patient outcome. HHVBP measures focus on clinical outcomes as central components of a
performance measurement system. For many years, HHAs have worked to achieve improved patient outcomes, but there was no
direct connection to payment. With HHVBP, clinical success for payments can translate to higher Medicare reimbursement.
This program is designed to explore the clinical practices that make a difference in HHVBP scoring. When clinical
practices work for patients, HHVBP makes them work for a HHAs bottom-line as well. This session will:
Identify areas most susceptible to patient outcome improvement
Recognize best practices in clinical operations that impact HHVBP scores
Identify practical steps towards successful implementation of HHVBP best practices
Presentation Date: 08.10.2017
Learning Outcomes(s): Participants will actively engage in the learning activity and indicate an intent to
change or enhance their practice by recognizing best practices in clinical operations that impact client outcomes and home health Value-Based Purchasing scores.
About the Presenter:
Melinda Gaboury is co-founder and Chief Executive Officer of
Healthcare Provider Solutions, Inc. (HPS), based in Nashville, TN. Melinda Gaboury and Mark Cannon founded the company in April 2001 to provide
financial, reimbursement, billing and clinical consulting to the home care and hospice industries.
With more than 16 years of executive speaking, educating and most importantly day-to-day experience working
with home care and hospice professionals, Gaboury has been a speaker for multiple state and national home care and hospice associations. She is
actively conducting Basic and Advanced Home Care and Hospice Seminars throughout the country. She is currently serving on the HHFMA Board and
Home Care Association of Florida Board of Directors. Gaboury is also the author of the Home Health Pocket Guide to OASIS-C2: A Reference Guide for Field Staff.
[3053] Clinical Services Management: What Works to Improve Home Health Value-Based Purchasing Performance?
- Speaker
- Gaboury, Melinda
- Model
- 3053
$37.50
Critical Home Health PDGM Claims Processing Update
[3440] Critical Home Health PDGM Claims Processing Update
What does 2020 hold for your reimbursement?
Presentation Info:
TAHC&H Virtual Event | 51st Annual Meeting & Conference | Recorded for On-Demand Access
Presentation Date | September 1, 2020
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.5 Clock Hr(s)
CE Approval Statements:
· This program meets continuing education requirements
for Administrators and Alternates under Texas HCSSA licensing regulations.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][3]basic principles of management in a licensed health-related setting
§558.260[a][6]risk assessment and management
§558.260[a][7]financial management
Program Description: The Home Health Proposed Rule 2021 was released June 30, 2020 and while there are not significant
changes to the PDGM model there are some details that need to be reviewed! RAPs will have no payments and will have a payment PENALTY if not filed timely.
There are some changes to the wage indices in multiple states with swings in the applicable rates of no greater than 5%. Medical Review began again on
August 3, 2020, across the nation. What does 2020 hold for your reimbursement?
Program Learning Objective(s): Participants will actively engage in the discussion and incorporate
best practices for their claims processing under PDGM model in relation to the RAP changes that will impact agency revenue, wage indices and medical reviews.
TAHC&H Faculty/Presenter(s): Melinda Gaboury, COS-C, Chief Executive Officer, Healthcare Provider Solutions, Inc.
About the Presenter(s):
Melinda Gaboury, with more than 28 years in home care, has over 18 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 currently serving on the NAHC/HHFMA Advisory Board and Work Group and is Associate Director on the Home Care Association of Florida Board of Directors.
Melinda is also the author of the Home Health OASIS Guide to OASIS-D1.
[3440] Critical Home Health PDGM Claims Processing Update
- Speaker
- Gaboury, Melinda
- Model
- 3440
$45.00
Financial Ops Mgmnt: What Are the Keys to Success in HH Value-Based Purchasing?
[3056] Financial Operations Management: What Are the Keys to Success in Home Health Value-Based Purchasing?
Education-Training Credits:
1.5 Hr(s) HCSSA Administrator/Alternate
Summary: Strategies, tactics, and
operational adjustments for the financial management team.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][3]basic principles of management in a licensed health-related setting
§558.260[a][5]quality improvement
§558.260[a][7]financial management
Faculty: Melinda Gaboury
Program Description: While clinical performance is essential for success in
Home Health Value Based Purchasing (HHVBP), a strong partnership with a HHA’s Financial Operations can exponentially improve the
chances of positive achievement. Performance tracking, return on investment analysis, cost efficiency strategies, and prioritization
of actions can help turn clinical success into bottom-line positive outcomes. This program explores the strategies, tactics, and
operational adjustments that the financial management team at an HHA can take in combination with clinical practices that form the
foundation for HHVBP success. This session will:
Identify the standards used to determine what brings the best returns on clinical investments
Recognize best practices for integrating HHVBP clinicians with financial operations
Determine which HHVBP measures your agency should target to achieve the highest overall score
Presentation Date: 08.10.2017
Learning Outcomes(s): Participants will actively engage in the learning activity and
indicate an intent to change or enhance their practice by recognizing how financial decisions impact clinical operations.
About the Presenter:
Melinda Gaboury is co-founder and Chief Executive Officer of
Healthcare Provider Solutions, Inc. (HPS), based in Nashville, TN. Melinda Gaboury and Mark Cannon founded the company in April 2001 to provide
financial, reimbursement, billing and clinical consulting to the home care and hospice industries.
With more than 16 years of executive speaking, educating and most importantly day-to-day experience working
with home care and hospice professionals, Gaboury has been a speaker for multiple state and national home care and hospice associations. She is
actively conducting Basic and Advanced Home Care and Hospice Seminars throughout the country. She is currently serving on the HHFMA Board and
Home Care Association of Florida Board of Directors. Gaboury is also the author of the Home Health Pocket Guide to OASIS-C2: A Reference Guide for Field Staff.
[3056] Financial Operations Management: What Are the Keys to Success in Home Health Value-Based Purchasing?
- Speaker
- Gaboury, Melinda
- Model
- 3056
$45.00
Hospice | Conditions For Payment – You Do Want to Keep Your Monies, Don’t You?
[3580] Hospice | Conditions For Payment – You Do Want To Keep Your Monies, Don’t You?
A 2021 Hospice Academy Presentation
Presentation Info:
TAHC&H Virtual Event | Hospice Academy 2021 | Recorded for On-Demand Access
Presentation Date | January 14, 2021
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.25 Clock Hr(s)
CE Approval Statements:
· This program meets continuing education requirements
for Administrators and Alternates under Texas HCSSA licensing regulations.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][3]basic principles of management in a licensed health-related setting
§558.260[a][7]financial management
Program Description: This session will outline and detail specific methods, backed up by regulatory references
that can ensure your hospice bills accurately for the care you plan and provide. The emphasis will be on how to ensure that the clinical activities including
eligibility criteria and on-going documentation requirements such as the face to face encounters, the physician narratives, and necessary orders for changes
in condition are included in the billing audit procedures. The speaker will also include information you need to know about transfers to and from your hospice,
billing for contracted physicians, inpatient and respite stays and conditions for payment. This discussion will include principled practices that must be included
in a hospice’s billing policies and procedures in order to mitigate possible implications of fraud and abuse.
TAHC&H Faculty/Presenter(s): Melinda Gaboury, COS-C, Chief Executive Officer, Healthcare Provider Solutions, Inc.
About the Presenter(s):
Melinda, with more than 28 years in home care, has over 18 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 currently serving on the NAHC/HHFMA Advisory Board and Work Group
and is Associate Director on the Home Care Association of Florida Board of Directors. Melinda is also the author of the Home Health OASIS Guide to OASIS-D1.
[3580] Hospice | Conditions For Payment – You Do Want To Keep Your Monies, Don’t You?
- Speaker
- Gaboury, Melinda
- Model
- 3580
$37.50
Hospice Medical Review | How to Avoid Denials
[3869] Hospice Medical Review | How to Avoid Denials
This presentation will take agencies through the winding road of
Medicare scrutiny.
Presentation Info:
TAHC&H Event | 55th Annual Conference | Rich-Media Presentation Capture | Online On-Demand Access
Presentation Date | September 11, 2024
Program Description: Hospice is on the hot bed of Medical Review in 2024. This presentation will take agencies through the winding road of
Medicare scrutiny. While billing the Medicare benefit and getting paid relatively easily, there is always a risk of things being reviewed at some
point and what can you do to avoid denials. Don’t be caught in the comfortable position of believing that everything is okay. You will take away information
that will assist in assuring that your hospice truly is prepared for an call for medical review of their charts. It will review the top 5 medical
review denial reasons and best practices to avoid these denials.
HCSSA Topic(s) Addressed:
§558.260[a][3]basic principles of management in a licensed health-related setting
§558.260[a][5]quality improvement
§558.260[a][6]risk assessment and management
§558.260[a][7]financial management
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.0 Clock Hr(s)
Continuing Education for Nurses
1.0 Contact Hr(s)
This program awards CNE until 9.11.2026
Texas HCSSA CE Approval Statement
This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
Nurse CE Approval Statement
Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by Louisiana State Nurses
Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. LSNA Provider No. 4002151
Requirements for Successful Completion
To receive continuing education credits for this online presentation participant must view the entire online presentation, complete an evaluation, and post-test attestation.
Reporting of Perceived Bias
Bias, as defined by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC COA/LSNA) is the “tendency or inclination to cause partiality, favoritism, or influence.”
Commercial bias may occur when a CNE activity promotes one or more product(s) (drugs, devices, services, software, hardware, etc.). This definition is not all inclusive and participants may use
their own interpretation in deciding if a presentation is biased. The ANCC COA is interested in the opinions and perceptions of participants at approved CNE activities, especially in the presence
of actual or perceived bias in continuing education. Therefore, ANCC invites participants to access their “ANCC Accreditation Feedback Line” to report any noted bias or conflict of interest in the
education activity. The toll free number is 1(866) 262-9730.
TAHC&H Faculty/Presenter(s): Melinda Gaboury, COS-C, Chief Executive Officer, Healthcare Provider Solutions, Inc.
About the Presenter(s): Melinda A. Gaboury, with more than 28 years in home care, has over 18 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 currently serving on the NAHC/HHFMA Advisory Board
and Work Group and is Associate Director on the Home Care Association of Florida Board of Directors. Melinda is also the author of the Home Health OASIS Guide to OASIS-D1.
[3869] Hospice Medical Review | How to Avoid Denials
- Speaker
- Gaboury, Melinda
- Model
- 3869
$30.00
Hospice Medicare Advantage Carve-In: The Time Has Come
[3505] Hospice Medicare Advantage Carve-In: The Time Has Come
Details of the Value-Based Insurance Design (VBID) Model – Hospice Benefit Component.
Presentation Info:
TAHC&H Virtual Event | Winter Conference | Recorded for On-Demand Access
Presentation Date | February 9, 2021
Program Description: This presentation covers the details of the Value-Based Insurance Design (VBID) Model – Hospice Benefit Component.
Medicare Advantage (MA) has long had coverage for home health patients, but there has never been coverage for Hospice under the MA benefit. VBID is a demonstration that will begin
January 1, 2021. There are 9 Medicare Advantage Organizations (MAO) that will be participating and have coverage in multiple states. In addition to Hospice care there is an expansion
of Palliative Care services that will be offered to patients through the MAO. CMS is testing how the hospice benefit component can improve beneficiary care through greater care coordination,
reduced fragmentation, and transparency in line with recommendations by the Office of Inspector General (OIG), the Medicare Payment Advisory Commission (MedPAC) and others.
CMS will require that MAOs provide beneficiaries with broad access to the complete original Medicare hospice benefit. This presentation covers all known aspects of the demonstration and prepares
hospices for the reality that Medicare Advantage is now in the Hospice world.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][3]basic principles of management in a licensed health-related setting
§558.260[a][7]financial management
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.25 Clock Hr(s)
Texas HCSSA CE Approval Statement
This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
TAHC&H Faculty/Presenter(s): Melinda Gaboury, COS-C, Chief Executive Officer, Healthcare Provider Solutions, Inc.
About the Presenter(s):
Melinda Gaboury, with more than 28 years in home care, has over 18 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 currently serving
on the NAHC/HHFMA Advisory Board and Work Group and is Associate Director on the Home Care Association of Florida Board of Directors. Melinda is also the author of the Home
Health OASIS Guide to OASIS-D1.
[3505] Hospice Medicare Advantage Carve-In: The Time Has Come
- Speaker
- Gaboury, Melinda
- Model
- 3505
$37.50
Hospice Quality Reporting Program (HQRP)
[3611] Hospice Quality Reporting Program (HQRP)
Learn the changes in the HQRP that were finalized in the Hospice FY 2022 payment rule.
Presentation Info:
TAHC&H Winter Conference 2022 | Dallas | Recorded for On-Demand Access
Presentation Date | February 23, 2022
Program Description: This program describes the components of the Hospice Quality Reporting Program (HQRP) and the financial
impact for hospice providers who do not meet the reporting requirements. You will learn the changes in the HQRP that were finalized in the Hospice FY 2022 payment rule
including the new Hospice Care Index (claims-based) measure, an update on the Hospice Visits in the Last Days of Life (HVLDL) measure, STAR rating for the hospice CAHPS
survey and removal of the seven HIS measures from Care Compare. It also provides an update on the HOPE tool.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][3]basic principles of management in a licensed health-related setting
§558.260[a][5]quality improvement
§558.260[a][7]financial management
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.25 Clock Hr(s)
Texas HCSSA CE Approval Statement
This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
TAHC&H Faculty/Presenter(s): Melinda A. Gaboury, COS-C, Chief Executive Officer, Healthcare Provider Solutions, Inc.
About the Presenter(s):
Melinda Gaboury, with more than 28 years in home care, has over 18 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 currently
serving on the NAHC/HHFMA Advisory Board and Work Group and is Associate Director on the Home Care Association of Florida Board of Directors. Melinda is also the author of the Home Health OASIS Guide toOASIS-D1.
[3611] Hospice Quality Reporting Program (HQRP)
- Speaker
- Gaboury, Melinda
- Model
- 3611
$37.50
Hospice Regulatory Compliance: Certifications of Terminal Illness/Election/Comprehensive Assess
[3283] Hospice Regulatory Compliance: Certifications of Terminal Illness/Election/Comprehensive Assessment
These items are part of every medical review and there is a new focus on them during Medicare surveys.
TAHC&H CONFERENCE RECORDING: This program was presented on 08/28/2019 at the Texas Association of Home Care & Hospice 50th
Annual Meeting in Grapevine. It is one of 17 presentations captured and produced for online access. Subscribers receive 24/7 on-demand access from
both home and office during the subscription period shown at the bottom of this page.
Presentation Info:
Presentation Date: August 28, 2019
TAHC&H Event: TAHC&H Annual Meeting | Grapevine
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.5 Clock Hr(s)
CE Approval Statements:
· This program meets continuing education requirements
for Administrators and Alternates under Texas HCSSA licensing regulations.
HCSSA Topic(s) Addressed:
§97.259[d][4]agency responsibilities
§97.260[a][3]basic principles of management in a licensed health-related setting
§97.260[a][6]risk assessment and management
§97.260[a][7]financial management
Program Description: Regulatory Compliance is of grave concern always, but especially during times of
heightened scrutiny by medical reviewers. CMS’ has stated concerns about the sources of clinical information for hospice certifications of terminal
illness (CTI) and other recent reminders from CMS emphasizes the importance of compliance with CTI and Medicare election statement requirements. These
items will be part of every medical review and there is a new focus on them during Medicare surveys. The comprehensive assessment of the patient is
the ground work for the care to be provided and requires additional attention by most agencies. This program delves deep into the requirements for
the CTI, Medicare election statement and comprehensive assessment and their impact on operations. It also covers other regulatory and billing necessities
such as the plan of care, Notice of Election (NOE), and current medical review topics.
Program Learning Outcome: Participants will actively engage in the learning activity and indicate an
intent to change their practice by implementing best practices in the comprehensive assessment of the terminal patient to contribute to optimal patient outcomes.
TAHC&H Faculty/Presenter: Melinda A. Gaboury, COS-C, CEO, Healthcare Provider Solutions, Inc.
About the Presenter:
Melinda A. Gaboury with more than 27 years in home care, has over 17 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 PPS training,
billing, collections, case-mix calculations, chart reviews and due diligence. ZPIC, RA, ADR & TPE appeals with all Medicare MACs have become the forefront of
Melinda’s current impact on the industry. She is currently serving on the NAHC/HHFMA Advisory Board as ex-officio and is Associate Director on the Home Care
Association of Florida Board of Directors. Melinda is also the author of the Home Health Pocket Guide to OASIS-C2: A Reference for Field Staff.
[3283] Hospice Regulatory Compliance: Certifications of Terminal Illness/Election/Comprehensive Assessment
- Speaker
- Gaboury, Melinda
- Model
- 3283
$45.00
Hospice Revenue Cycle – Compliance and Efficiency
[3787] Hospice Revenue Cycle – Compliance and Efficiency
An update on the
latest billing and payment issues while examining best practices for optimizing revenue cycle management and mitigating compliance risks.
Presentation Info:
TAHC&H Event 54th Annual Meeting | Rich-Media Presentation Capture | Online On-Demand Access
Presentation Date | August 30, 2023
Program Description: An optimized hospice revenue cycle effectively maintains cash flow and minimizes write-offs.
The Hospice Revenue Cycle continues to be threatened by new challenges yearly. New compliance/medical review risks constantly emerge and the hospice billing and
payment landscape continues to evolve. Recently added complexities created by the expanding Value-Based Insurance Design (VBID) demonstration project and increasing
medical review audits from all sides are topped off by heightened scrutiny by the Office of Inspector General (OIG). This presentation provides hospices with an update on the
latest billing and payment issues while examining best practices for optimizing revenue cycle management and mitigating compliance risks.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][2]development and interpretation of agency policies
§558.260[a][3]basic principles of management in a licensed health-related setting
§558.260[a][7]financial management
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.0 Clock Hr(s)
Texas HCSSA CE Approval Statement
This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
TAHC&H Faculty/Presenter(s): Melinda Gaboury, COS-C, Chief Executive Officer, Healthcare Provider Solutions, Inc.
About the Presenter(s): Melinda A. Gaboury, with more than 28 years in home care, has over 18 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 currently serving on the NAHC/HHFMA Advisory Board
and Work Group and is Associate Director on the Home Care Association of Florida Board of Directors. Melinda is also the author of the Home Health OASIS Guide to OASIS-D1.
[3787] Hospice Revenue Cycle – Compliance and Efficiency
- Speaker
- Gaboury, Melinda
- Model
- 3787
$30.00
Hospice Special Focus Program (SFP) & Provisional Period of Enhanced Oversight (PPEO)
[3844] Hospice Special Focus Program (SFP) & Provisional Period of Enhanced Oversight (PPEO)
Reviews the details of both programs and what Hospices can expect.
Presentation Info:
TAHC&H Event | Winter Conference | Fort Worth | Rich-Media Presentation Capture for Your Online On-Demand Access
Presentation Date | February 22, 2024
Presentation Track | Medicare Hospice
Program Description: Major scrutiny of the Hospice Benefit is well underway nationwide. This program reviews the details of both programs and what Hospices can expect.
The Special Focus Program (SFP), will monitor hospices identified as poor performers based on selected quality indicators. Hospices selected for the SFP will be under additional oversight to enable continuous improvement.
This required program includes the development and implementation of enforcement remedies for noncompliant hospice programs, as well as procedures for appealing determinations regarding these remedies.
These enforcement actions can be imposed instead of, or in addition to, termination of the hospice program’s participation from the Medicare program. Through the PPEO, new providers or suppliers are
subject to prepayment medical reviews designed to address improper billing practices right out of the gate. This program is for newly certified hospices as well as change of ownership and a must-view!
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][3]basic principles of management in a licensed health-related setting
§558.260[a][5]quality improvement
§558.260[a][7]financial management
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.25 Clock Hr(s)
Continuing Education for Nurses
1.25 Contact Hr(s)
This program awards CNE until 02.22.2026
Texas HCSSA CE Approval Statement
This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
Nurse CE Approval Statement
Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by Louisiana State Nurses
Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. LSNA Provider No. 4002151
Requirements for Successful Completion
To receive continuing education credits for this online presentation participant must view the entire online presentation, complete an evaluation, and post-test attestation.
Reporting of Perceived Bias
Bias, as defined by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC COA/LSNA) is the “tendency or inclination to cause partiality, favoritism, or influence.”
Commercial bias may occur when a CNE activity promotes one or more product(s) (drugs, devices, services, software, hardware, etc.). This definition is not all inclusive and participants may use
their own interpretation in deciding if a presentation is biased. The ANCC COA is interested in the opinions and perceptions of participants at approved CNE activities, especially in the presence
of actual or perceived bias in continuing education. Therefore, ANCC invites participants to access their “ANCC Accreditation Feedback Line” to report any noted bias or conflict of interest in the
education activity. The toll free number is 1(866) 262-9730.
TAHC&H Faculty/Presenter(s): Melinda Gaboury, COS-C, Chief Executive Officer, Healthcare Provider Solutions, Inc.
About the Presenter(s): Melinda A. Gaboury, with more than 28 years in home care, has over 18 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 currently serving on the NAHC/HHFMA Advisory Board
and Work Group and is Associate Director on the Home Care Association of Florida Board of Directors. Melinda is also the author of the Home Health OASIS Guide to OASIS-D1.
[3844] Hospice Special Focus Program (SFP) & Provisional Period of Enhanced Oversight (PPEO)
- Speaker
- Gaboury, Melinda
- Model
- 3844
$37.50
Hospice VBID - Value Based Insurance Design Model 2022-23
[3693] Hospice VBID - Value Based Insurance Design Model 2022-23
It is important now more than ever to understand the VBID Model for hospice...
Presentation Info:
TAHC&H 53rd Annual Meeting | Round Rock | Rich-Media Capture | On-Line, On-Demand Access
Presentation Date | September 1, 2022
Program Description: Expanding rapidly, Medicare Advantage networks in twenty-one states and Puerto Rico
are participating in the Value Based Insurance Design Model for hospice. It is important now more than ever to understand the VBID Model for hospice,
how it will impact hospice organizations as well as the ins and outs of working with participating Medicare Advantage Plans. Beginning with the why and
moving through reimbursement, this session will bring the VBID Hospice Component into focus while providing strategies to be successful when partnering with Medicare Advantage plans.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][3]basic principles of management in a licensed health-related setting
§558.260[a][7]financial management
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.0 Clock Hr(s)
Texas HCSSA CE Approval Statement
This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
TAHC&H Faculty/Presenter(s): Melinda Gaboury, COS-C, Chief Executive Officer, Healthcare Provider Solutions
About the Presenter(s):
Melinda Gaboury, with more than 28 years in home care, has over 18 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 currently serving on the NAHC/HHFMA Advisory Board and Work Group and is Associate Director on the Home Care
Association of Florida Board of Directors. Melinda is also the author of the Home Health OASIS Guide to OASIS-D1.
[3693] Hospice VBID - Value Based Insurance Design Model 2022-23
- Speaker
- Gaboury, Melinda
- Model
- 3693
$30.00
Medicare Advantage: Digging in the Details
[3791] Medicare Advantage: Digging in the Details
This session will assist with details that are needed for success under Medicare Advantage.
Presentation Info:
TAHC&H Event 54th Annual Meeting | Rich-Media Presentation Capture | Online On-Demand Access
Presentation Date | August 31, 2023
Program Description: Home Health providers are grappling with the shift in the Medicare eligible population into
Medicare Advantage Plans (MA Plans). Providers are asking: What are the implications of current demographic trends? What operational and financial issues should
providers expect as their payer mix shifts to mostly Managed Care? Being successful in this environment of these payer mix changes requires agencies to understand their
costs of treating these patients and other impacts on their operations on an individual contract basis. This session assists with details that are needed for success under Medicare Advantage.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][3]basic principles of management in a licensed health-related setting
§558.260[a][7]financial management
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.0 Clock Hr(s)
Continuing Education for Nurses
1.0 Contact Hr(s)
This program awards CNE until 08.31.2025
Texas HCSSA CE Approval Statement
This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
Nurse CE Approval Statement
Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by Louisiana State Nurses
Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. LSNA Provider No. 4002151
Requirements for Successful Completion
To receive continuing education credits for this online presentation participant must view the entire online presentation, complete an evaluation, and post-test attestation.
Reporting of Perceived Bias
Bias, as defined by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC COA/LSNA) is the “tendency or inclination to cause partiality, favoritism, or influence.”
Commercial bias may occur when a CNE activity promotes one or more product(s) (drugs, devices, services, software, hardware, etc.). This definition is not all inclusive and participants may use
their own interpretation in deciding if a presentation is biased. The ANCC COA is interested in the opinions and perceptions of participants at approved CNE activities, especially in the presence
of actual or perceived bias in continuing education. Therefore, ANCC invites participants to access their “ANCC Accreditation Feedback Line” to report any noted bias or conflict of interest in the
education activity. The toll free number is 1(866) 262-9730.
TAHC&H Faculty/Presenter(s): Melinda Gaboury, COS-C, Chief Executive Officer, Healthcare Provider Solutions, Inc.
About the Presenter(s): Melinda A. Gaboury, with more than 28 years in home care, has over 18 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 currently serving on the NAHC/HHFMA Advisory Board
and Work Group and is Associate Director on the Home Care Association of Florida Board of Directors. Melinda is also the author of the Home Health OASIS Guide to OASIS-D1.
[3791] Medicare Advantage: Digging in the Details
- Speaker
- Gaboury, Melinda
- Model
- 3791
$30.00
Medicare Advantage: Digging In the Details
[3832] Medicare Advantage: Digging In the Details
Covers provider issues with Medicare Advantage Plans.
Presentation Info:
TAHC&H Event | Winter Conference | Fort Worth | Rich-Media Presentation Capture for Your Online On-Demand Access
Presentation Date | February 21, 2024
Presentation Track | Medicare Home Health
Program Description: Home Health providers are grappling with the shift in the Medicare eligible population into Medicare Advantage Plans (MA Plans).
Providers are asking: What are the implications of current demographic trends? What operational and financial issues should providers expect as their payer mix shifts to mostly Managed Care?
Being successful in this environment of these payer mix changes requires agencies to understand their costs of treating these patients and other impacts on their operations on an individual contract basis.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][3]basic principles of management in a licensed health-related setting
§558.260[a][5]quality improvement
§558.260[a][7]financial management
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.25 Clock Hr(s)
Continuing Education for Nurses
1.25 Contact Hr(s)
This program awards CNE until 02.21.2026
Texas HCSSA CE Approval Statement
This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
Nurse CE Approval Statement
Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by Louisiana State Nurses
Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. LSNA Provider No. 4002151
Requirements for Successful Completion
To receive continuing education credits for this online presentation participant must view the entire online presentation, complete an evaluation, and post-test attestation.
Reporting of Perceived Bias
Bias, as defined by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC COA/LSNA) is the “tendency or inclination to cause partiality, favoritism, or influence.”
Commercial bias may occur when a CNE activity promotes one or more product(s) (drugs, devices, services, software, hardware, etc.). This definition is not all inclusive and participants may use
their own interpretation in deciding if a presentation is biased. The ANCC COA is interested in the opinions and perceptions of participants at approved CNE activities, especially in the presence
of actual or perceived bias in continuing education. Therefore, ANCC invites participants to access their “ANCC Accreditation Feedback Line” to report any noted bias or conflict of interest in the
education activity. The toll free number is 1(866) 262-9730.
TAHC&H Faculty/Presenter(s): Melinda Gaboury, COS-C, Chief Executive Officer, Healthcare Provider Solutions, Inc.
About the Presenter(s): Melinda A. Gaboury, with more than 28 years in home care, has over 18 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 currently serving on the NAHC/HHFMA Advisory Board
and Work Group and is Associate Director on the Home Care Association of Florida Board of Directors. Melinda is also the author of the Home Health OASIS Guide to OASIS-D1.
[3832] Medicare Advantage: Digging In the Details
- Speaker
- Gaboury, Melinda
- Model
- 3832
$37.50
Medicare Targeted Probe & Educate
[3116] Medicare Targeted Probe & Educate
Learn how to respond to record requests and subsequent audit findings.
TAHC&H CONFERENCE RECORDING: This program was presented on 08/08/2018 at the Texas Association of Home Care
& Annual Conference in Frisco. It is one of 16 presentations captured and produced for online access. Subscribers receive
24/7 on-demand access from both home and office during the subscription period shown at the bottom of this page.
Presentation Info:
Presentation Date: August 8, 2018
TAHC&H Event: TAHC&H Annual Meeting | Frisco
Subscription Type: Individual
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.5 Clock Hrs
CE Approval Statements:
· This program meets continuing education requirements
for Administrators and Alternates under Texas HCSSA licensing regulations.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][2]development and interpretation of agency policies
§558.260[a][6]risk assessment and management
§558.260[a][7]financial management
Program Description: This program reviews the goal of the Targeted Probe & Educate audit process.
Learn how to respond to these record requests as well as the subsequent audit findings. The timelines for responses and the
recoupment process are defined. This presentation describes likely audit risks for home health agencies and how to
monitor those risks, including analyzing PEPPER reports. It will not only assist in providing a checklist for the
documentation required to be sent in, but also suggest a checklist of things to review in the chart before sending it in.
Program Learning Outcome:
Learners will actively engage in the learning activity and indicate an intent to change their practice by using the PEPPER reports
to target documentation enhancements that will result in more successful Targeted Probe and Educate results.
TAHC&H Faculty/Presenter: Melinda A. Gaboury, COS-C Chief Executive Officer, Healthcare Provider Solutions
About the Presenter:
Melinda Gaboury, with more than 27 years in home care, has over 17 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 PPS training, billing, collections, case-mix calculations, chart reviews and due diligence. ZPIC, RA,
ADR & TPE appeals with all Medicare MACs have become the forefront of Melinda’s current impact on the industry. She is currently serving on the NAHC/HHFMA Advisory Board as
ex-officio and is Associate Director on the Home Care Association of Florida Board of Directors. Melinda is also the author of the Home Health Pocket Guide to OASIS-C2: A Reference for Field Staff.
[3116] Medicare Targeted Probe & Educate
- Speaker
- Gaboury, Melinda
- Model
- 3116
$45.00
New Hospice Election & Addendum Requirements 2020
[3438] New Hospice Election & Addendum Requirements 2020
Reviews changes and assists in implementation of new requirements.
Presentation Info:
TAHC&H Virtual Event | 51st Annual Meeting & Conference | Recorded for On-Demand Access
Presentation Date | September 1, 2020
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.5 Clock Hr(s)
CE Approval Statements:
· This program meets continuing education requirements
for Administrators and Alternates under Texas HCSSA licensing regulations.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][3]basic principles of management in a licensed health-related setting
§558.260[a][6]risk assessment and management
Program Description: Hospice Election Statement changes became effective October 2020.
This presentation reviews the detailed changes to the Hospice Election Statement that are effective October 1, 2020. In addition to the Election
Statement itself, there will also be an addendum requirement that will include many clinicians needing to fully understand what is allowed and not
allowed under the Medicare Benefit and the regulations to support that decision. This presentation assists in implementation of
these new requirements. In addition there are sample Election Statements and Addendums provided.
Program Learning Objective(s): Participants will actively engage in the learning activity and indicate an intent to change or
enhance their practice by changing their election statements and complying with addendum requirement.
TAHC&H Faculty/Presenter(s): Melinda Gaboury, COS-C, Chief Executive Officer, Healthcare Provider Solutions, Inc.
About the Presenter(s):
Melinda Gaboury, with more than 28 years in home care, has over 18 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 currently serving on the NAHC/HHFMA Advisory Board and Work Group and is Associate Director on the Home Care Association of Florida Board of Directors.
Melinda is also the author of the Home Health OASIS Guide to OASIS-D1.
[3438] New Hospice Election & Addendum Requirements 2020
- Speaker
- Gaboury, Melinda
- Model
- 3438
$45.00
