Gaboury, Melinda
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
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
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
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
