Gaboury, Melinda
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
Audit Proof Your Hospice Documentation
[3974] Audit Proof Your Hospice Documentation
Covers all types of medical review audits and provide documentation “must”, tips and guidance to “audit proof” your claims.
Presentation Info:
TAHC&H Event | 56th Annual Meeting | Rich-Media Presentation Capture | Online On-Demand Access
Presentation Date: August 28, 2025
Program Description:
Being prepared for a hospice medical review audit regardless of type such as TPE, PPEO, SMRC, UPIC or RAC will ensure
timely submission of documents and protect your agency’s bottom line. From pre-payment denials to post-payment recoupment of payments,
this session will cover all types of medical review audits and provide documentation “must”, tips and guidance to “audit proof” your claims.
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
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 08.28.2027
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, the 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 A. Gaboury, COS-C, Chief Executive Officer, Healthcare Provider Solutions, Inc
About the Presenter(s): Melinda A. Gaboury
Melinda A. Gaboury, with more than 30 years in home care, has over 22 years of executive speaking and educating experience, including extensive day-to-day interaction with home care and hospice professionals.
She routinely conducts Home Care and Hospice Reimbursement Workshops and speaks at state association meetings throughout the country. Melinda has profound experience in Medicare PDGM training,
billing, collections, case-mix calculations, chart reviews and due diligence. UPIC, RA, ADR & TPE appeals with all Medicare MACs have become the forefront of Melinda’s current impact on the industry.
Melinda is currently Chair of the NAHC/HHFMA Advisory Board and Work Group, is Treasurer on the Home Care Association of Florida Board of Directors, and a member of the Tennessee Association for
Home Care Board of Directors. Melinda is also the author of the Home Health OASIS Guide to OASIS-E and Home Health Billing Answers, 2024.
[3974] Audit Proof Your Hospice Documentation
- Speaker
- Gaboury, Melinda
- Model
- 3974
$30.00
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 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 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
Improving HHCAHPS Scores
[3970] Improving HHCAHPS Scores
Suggests best practices of working within their organization to show improvement in these ratings.
Presentation Info:
TAHC&H Event | 56th Annual Meeting | Rich-Media Presentation Capture | Online On-Demand Access
Presentation Date: August 28, 2025
Program Description:
Patients are also customers, and their experience impacts the agency. The patient's experience shapes what they tell
their friends and family about their care and impacts the agency’s HHCAHPS Star Ratings and payment under HHVBP.
While agencies focus efforts on quality programs, staffing, marketing and financial strategies with gains being realized
and measured, they often struggle when it comes to approaches for improving patient experience ratings.
This session will take agencies through best practices of working within their organization to show improvement in these ratings.
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][8]skills for working with clients, families, and other professional service providers
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 08.28.2027
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, the 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 A. Gaboury, COS-C, Chief Executive Officer, Healthcare Provider Solutions, Inc
About the Presenter(s): Melinda A. Gaboury
Melinda A. Gaboury, with more than 30 years in home care, has over 22 years of executive speaking and educating experience, including extensive day-to-day interaction with home care and hospice professionals.
She routinely conducts Home Care and Hospice Reimbursement Workshops and speaks at state association meetings throughout the country. Melinda has profound experience in Medicare PDGM training,
billing, collections, case-mix calculations, chart reviews and due diligence. UPIC, RA, ADR & TPE appeals with all Medicare MACs have become the forefront of Melinda’s current impact on the industry.
Melinda is currently Chair of the NAHC/HHFMA Advisory Board and Work Group, is Treasurer on the Home Care Association of Florida Board of Directors, and a member of the Tennessee Association for
Home Care Board of Directors. Melinda is also the author of the Home Health OASIS Guide to OASIS-E and Home Health Billing Answers, 2024.
[3970] Improving HHCAHPS Scores
- Speaker
- Gaboury, Melinda
- Model
- 3970
$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)
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.
[3791] Medicare Advantage: Digging in the Details
- Speaker
- Gaboury, Melinda
- Model
- 3791
$30.00
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
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
The "H" Word | Preparing Team Members to Provide Supportive Hospice Consultations
[4018] The "H" Word | Preparing Team Members to Provide Supportive Hospice Consultations
Guidance for hospice team members on presenting hospice philosophy, answering questions, and supporting patients and families.
Presentation Info:
TAHC&H Event | Winter Conference | Rich-Media Presentation Capture | Online On-Demand Access
Presentation Date: February 19 , 2026
Program Description:
This program provides guidance for hospice team members on presenting hospice philosophy, answering questions, and supporting patients and families.
HCSSA Topic(s) Addressed:
§558.259[c][2]information on the state and federal laws applicable to an agency
§558.259[d][4] agency responsibilities
§558.260[a][3] basic principles of management in a licensed health-related setting
§558.260[a][8]skills for working with clients, families, and other professional service providers
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 02.19.2028
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, the 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 A. Gaboury, COS-C, Chief Executive Officer, Healthcare Provider Solutions, Inc
About the Presenter(s): Melinda A. Gaboury
Melinda A. Gaboury, with more than 30 years in home care, has over 22 years of executive speaking and educating experience, including extensive day-to-day interaction with home care and hospice professionals.
She routinely conducts Home Care and Hospice Reimbursement Workshops and speaks at state association meetings throughout the country. Melinda has profound experience in Medicare PDGM training,
billing, collections, case-mix calculations, chart reviews and due diligence. UPIC, RA, ADR & TPE appeals with all Medicare MACs have become the forefront of Melinda’s current impact on the industry.
Melinda is currently Chair of the NAHC/HHFMA Advisory Board and Work Group, is Treasurer on the Home Care Association of Florida Board of Directors, and a member of the Tennessee Association for
Home Care Board of Directors. Melinda is also the author of the Home Health OASIS Guide to OASIS-E and Home Health Billing Answers, 2024.
[4018] The "H" Word | Preparing Team Members to Provide Supportive Hospice Consultations
- Speaker
- Gaboury, Melinda
- Model
- 4018
$30.00
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)
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.
[3843] VBID – Hospice 2024 Update
- Speaker
- Gaboury, Melinda
- Model
- 3843
$30.00
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
CAHPS Hospice Survey | What Impact Does it Really Have?
[4017] CAHPS Hospice Survey | What Impact Does it Really Have?
A deep dive into CAHPS Hospice Survey changes, reimbursement impacts, Star Ratings, and public reporting.
Presentation Info:
TAHC&H Event | Winter Conference | Rich-Media Presentation Capture | Online On-Demand Access
Presentation Date: February 19 , 2026
Program Description:
This program provides a deep dive into CAHPS Hospice Survey changes, reimbursement impacts, Star Ratings, and public reporting.
HCSSA Topic(s) Addressed:
§558.259[c][2]information on the state and federal laws applicable to an agency
§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 02.19.2028
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, the 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 A. Gaboury, COS-C, Chief Executive Officer, Healthcare Provider Solutions, Inc
About the Presenter(s): Melinda A. Gaboury
Melinda A. Gaboury, with more than 30 years in home care, has over 22 years of executive speaking and educating experience, including extensive day-to-day interaction with home care and hospice professionals.
She routinely conducts Home Care and Hospice Reimbursement Workshops and speaks at state association meetings throughout the country. Melinda has profound experience in Medicare PDGM training,
billing, collections, case-mix calculations, chart reviews and due diligence. UPIC, RA, ADR & TPE appeals with all Medicare MACs have become the forefront of Melinda’s current impact on the industry.
Melinda is currently Chair of the NAHC/HHFMA Advisory Board and Work Group, is Treasurer on the Home Care Association of Florida Board of Directors, and a member of the Tennessee Association for
Home Care Board of Directors. Melinda is also the author of the Home Health OASIS Guide to OASIS-E and Home Health Billing Answers, 2024.
[4017] CAHPS Hospice Survey | What Impact Does it Really Have?
- Speaker
- Gaboury, Melinda
- Model
- 4017
$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
Home Health Medical Review & The New F2F Clarification
[4008] Home Health Medical Review & The New F2F Clarification
Highlights the current top denials and specific documentation tweaks along with the nuances of the new Face-to-Face Clarification from the Home Health Final Rule 2026.
Presentation Info:
TAHC&H Event | Winter Conference | Rich-Media Presentation Capture | Online On-Demand Access
Presentation Date: February 18 , 2026
Program Description:
Escalation of medical review scrutiny in home health leaves agencies struggling to know where to focus in avoiding denials.
This program highlights the current top denials and specific documentation tweaks that if implemented will assist in avoiding
denials if the chart is medically reviewed. In addition, it covers the nuances of the new Face-to-Face Clarification from the Home Health Final Rule 2026.
HCSSA Topic(s) Addressed:
§558.259[c][2]information on the state and federal laws applicable to an agency
§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)
Continuing Education for Nurses
1.25 Contact Hr(s)
This program awards CNE until 02.18.2028
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, the 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 A. Gaboury, COS-C, Chief Executive Officer, Healthcare Provider Solutions, Inc
About the Presenter(s): Melinda A. Gaboury
Melinda A. Gaboury, with more than 30 years in home care, has over 22 years of executive speaking and educating experience, including extensive day-to-day interaction with home care and hospice professionals.
She routinely conducts Home Care and Hospice Reimbursement Workshops and speaks at state association meetings throughout the country. Melinda has profound experience in Medicare PDGM training,
billing, collections, case-mix calculations, chart reviews and due diligence. UPIC, RA, ADR & TPE appeals with all Medicare MACs have become the forefront of Melinda’s current impact on the industry.
Melinda is currently Chair of the NAHC/HHFMA Advisory Board and Work Group, is Treasurer on the Home Care Association of Florida Board of Directors, and a member of the Tennessee Association for
Home Care Board of Directors. Melinda is also the author of the Home Health OASIS Guide to OASIS-E and Home Health Billing Answers, 2024.
[4008] Home Health Medical Review & The New F2F Clarification
- Speaker
- Gaboury, Melinda
- Model
- 4008
$37.50
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 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 Revenue Cycle Management
[4013] Hospice Revenue Cycle Management
Highlights specific areas of the Hospice Revenue Cycle that have a direct impact on reimbursement and data that impact decisions about medical review targets.
Presentation Info:
TAHC&H Event | Winter Conference | Rich-Media Presentation Capture | Online On-Demand Access
Presentation Date: February 18 , 2026
Program Description:
This session highlights specific areas of the Hospice Revenue Cycle that have a direct impact on reimbursement and data that impact decisions about medical review targets.
HCSSA Topic(s) Addressed:
§558.259[c][2]information on the state and federal laws applicable to an agency
§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)
Continuing Education for Nurses
1.25 Contact Hr(s)
This program awards CNE until 02.18.2028
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, the 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 A. Gaboury, COS-C, Chief Executive Officer, Healthcare Provider Solutions, Inc
About the Presenter(s): Melinda A. Gaboury
Melinda A. Gaboury, with more than 30 years in home care, has over 22 years of executive speaking and educating experience, including extensive day-to-day interaction with home care and hospice professionals.
She routinely conducts Home Care and Hospice Reimbursement Workshops and speaks at state association meetings throughout the country. Melinda has profound experience in Medicare PDGM training,
billing, collections, case-mix calculations, chart reviews and due diligence. UPIC, RA, ADR & TPE appeals with all Medicare MACs have become the forefront of Melinda’s current impact on the industry.
Melinda is currently Chair of the NAHC/HHFMA Advisory Board and Work Group, is Treasurer on the Home Care Association of Florida Board of Directors, and a member of the Tennessee Association for
Home Care Board of Directors. Melinda is also the author of the Home Health OASIS Guide to OASIS-E and Home Health Billing Answers, 2024.
[4013] Hospice Revenue Cycle Management
- Speaker
- Gaboury, Melinda
- Model
- 4013
$37.50
