Gaboury, Melinda
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
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
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
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
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
