[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
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?
