Gaboury, Melinda

Displaying 1 to 20 (of 25 products)
Wrapping Your Arms Around RAP Requirements for 2021 and Beyond

[3500] Wrapping Your Arms Around RAP Requirements for 2021 and Beyond
Learn what is needed for filing a RAP and the penalty calculation for untimely RAPs Presentation Info: TAHC&H Virtual Event | Winter Conference | Recorded for On-Demand Access Presentation Date | February 9, 2021 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: Still questioning how your agency may be impacted by the full RAP requirements for 2021? In this presentation Melinda Gaboury provides you with the opportunity to learn what is needed for filing a RAP and the penalty calculation for untimely RAPs. Don't miss out on an outline of the NOA timing parameters along with operational processes for being effective with RAP submissions. Program Learning Objective(s): Coming Soon 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. [3500] Wrapping Your Arms Around RAP Requirements for 2021 and Beyond

Speaker
Gaboury, Melinda
Model
3500

$45.00

1.5 Hrs
VBID – Hospice 2024 Update

[3843] VBID – Hospice 2024 Update
Details of the Value-Based Insurance Design (VBID) Model – Hospice Benefit Component. 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: This program 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 until 2021 when the VBID demonstration began to include Hospice. There have been many changes to the Medicare Advantage Organizations (MAO) participating in 2024 as the demonstration has now been extended through 2030. The differences in coverage for an in-network vs. out-of-network provider will be reviewed and the allowance of MAO plans to force patients to elect IN-NETWORK ONLY. CMS requires that MAOs provide beneficiaries with broad access to the complete original Medicare hospice benefit. This program covers all known aspects of the demonstration and will prepare hospices for the reality that Medicare Advantage is now in the Hospice world to stay. 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 1.0 Clock Hr(s) Continuing Education for Nurses 1.0 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. [3843] VBID – Hospice 2024 Update

Speaker
Gaboury, Melinda
Model
3843

$30.00

1.0 Hr
The Home Health Final Rule – Surviving the Attack on Rates

[3742] The Home Health Final Rule – Surviving the Attack on Rates
A deep dive into the current rates and all changes related to the home health final rule and how to survive. Presentation Info: TAHC&H Event | Winter Conference | Recorded for On-Demand Access Presentation Date | February 9, 2023 Program Description: This presentation digs deep into the current rates and all changes related to the home health final rule and how agencies should adjust their practices to survive the changes. 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 1.5 Clock Hr(s) Continuing Education for Nurses 1.5 Contact Hr(s) This program awards CNE until 02.09.2025 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, 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. [3742] The Home Health Final Rule – Surviving the Attack on Rates

Speaker
Gaboury, Melinda
Model
3742

$45.00

1.5 Hrs
PDGM Revenue Cycle & the Coming Notice of Admission [NOA]

[3522] PDGM Revenue Cycle & the Coming Notice of Admission [NOA]
Are agencies truly surviving 2021 and prepared for the NOA in 2022? Presentation Info: TAHC&H Virtual Event | Spring Conference | Recorded for On-Demand Access Presentation Date | May 12, 2021 Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.0 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: The most significant change agencies have experienced with billing in 2020 is the timely submission requirement for the Request for Anticipated Payment (RAP) and the coming Notice of Admission (NOA) in 2022. RAPs have no associated reimbursement in 2021 but carry a monetary penalty if not filed timely. Are agencies truly surviving 2021 and prepared for the NOA in 2022? TAHC&H Faculty/Presenter(s): Melinda Gaboury, COS-C, 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. [3522] PDGM Revenue Cycle & the Coming Notice of Admission [NOA]

Speaker
Gaboury, Melinda
Model
3522

$30.00

1.0 Hr
PDGM – Changes Can Not Start Soon Enough!

[3273] PDGM – Changes Can Not Start Soon Enough!
Highlights the areas impacted and outlines process changes to assist agencies in optimizing operations performance. TAHC&H CONFERENCE RECORDING: This program was presented on 08/27/2019 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 27, 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: The most significant change in Homecare Reimbursement in 20 years will go into effect January 2020. The Patient Driven Groupings Model – PDGM is complicated, confusing and overwhelming. Operational areas likely impacted under the new payment model include referral and sales management, intake, revenue cycle, operational reporting, order and supply management, and much more. This program highlights the areas impacted and outlines process changes to assist agencies in optimizing operations performance under PDGM to succeed under this new payment model. Program Learning Outcome: Participants will actively participate in the learning activity and indicate an intent to change their practice by implementing policies and clinical practices to uphold quality patient care measures and maximize reimbursement under the Patient Driven Groupings Model. 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. [3273] PDGM – Changes Can Not Start Soon Enough!

Speaker
Gaboury, Melinda
Model
3273

$45.00

1.5 Hrs
Notice of Admission – HH Revenue Cycle Update

[3613] Notice of Admission – HH Revenue Cycle Update
Your Revenue Cycle Team cannot afford to ignore this! Presentation Info: TAHC&H Winter Conference 2022 | Dallas | Recorded for On-Demand Access Presentation Date | February 23, 2022 Program Description: There has been a rough start to 2022 with the implementation of the Notice of Admission (NOA). No matter how much agencies prepared ahead of time, they are at the mercy of EMRs and the Medicare MACs to also be prepared. This program takes agencies through the current state of the NOA implementation and provides some best practices to implement moving forward. Your Revenue Cycle Team cannot afford to ignore this! 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 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. [3613] Notice of Admission – HH Revenue Cycle Update

Speaker
Gaboury, Melinda
Model
3613

$30.00

1.0 Hr
No-Pay RAP & Notice of Admission - How to be Successful

[3548] No-Pay RAP & Notice of Admission - How to be Successful
Details a plan of attack for agencies to succeed with NOA implementation in 2022. Presentation Info: TAHC&H Event | 52nd Annual Meeting & Conference | Recorded for On-Demand Access Presentation Date | September 15, 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: In this program Melinda Gaboury delves into the results of the NO Pay RAP implementation for 2021 including reviewing statistics regarding the No Pay RAP, current claims processing issues log at the Medicare MAC and identify how agencies can track their issues and outline penalty and how agencies monitor. She also details the requirements for the Notice of Admission in 2022 including reviewing the details for NOA regulation from the Proposed Rule, reviewing Claims Processing Manual for Updates and details the plan of attack for agencies to succeed with NOA implementation in 2022. TAHC&H Faculty/Presenter(s): Melinda A. 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. [3548] No-Pay RAP & Notice of Admission - How to be Successful

Speaker
Gaboury, Melinda
Model
3548

$37.50

1.25 Hrs
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

1.5 Hrs
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

1.5 Hrs
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

1.0 Hr
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

1.25 Hrs
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) Continuing Education for Nurses 1.0 Contact Hr(s) This program awards CNE until 09.01.2024 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 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

1.0 Hr
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

1.25 Hrs
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

1.0 Hr
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

1.5 Hrs
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

1.25 Hrs
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

1.25 Hrs
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

1.25 Hrs
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

1.5 Hrs
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

1.5 Hrs
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