Critical Home Health PDGM Claims Processing Update

[3440] Critical Home Health PDGM Claims Processing Update
What does 2020 hold for your reimbursement?

Presentation Info:

• TAHC&H Virtual Event | 51st Annual Meeting & Conference | Recorded for On-Demand Access
• Presentation Date | September 1, 2020

Education-Training Credits:

• TX HCSSA Administrator/Alternate Continuing Education
• 1.5 Clock Hr(s)

HCSSA Topic(s) Addressed:

• §558.259[d][4]agency responsibilities
• §558.260[a][3]basic principles of management in a licensed health-related setting
• §558.260[a][6]risk assessment and management
• §558.260[a][7]financial management

Program Description: The Home Health Proposed Rule 2021 was released June 30, 2020 and while there are not significant changes to the PDGM model there are some details that need to be reviewed! RAPs will have no payments and will have a payment PENALTY if not filed timely. There are some changes to the wage indices in multiple states with swings in the applicable rates of no greater than 5%. Medical Review began again on August 3, 2020, across the nation. What does 2020 hold for your reimbursement?

Program Learning Objective(s): Participants will actively engage in the discussion and incorporate best practices for their claims processing under PDGM model in relation to the RAP changes that will impact agency revenue, wage indices and medical reviews.

TAHC&H Faculty/Presenter(s): Melinda Gaboury, COS-C, Chief Executive Officer, Healthcare Provider Solutions, Inc.

About the Presenter(s):
Melinda Gaboury, with more than 28 years in home care, has over 18 years of executive speaking and educating experience, including extensive day to day interaction with home care and hospice professionals. She routinely conducts Home Care and Hospice Reimbursement Workshops and speaks at state association meetings throughout the country. Melinda has profound experience in Medicare PDGM training, billing, collections, case-mix calculations, chart reviews and due diligence. UPIC, RA, ADR & TPE appeals with all Medicare MACs have become the forefront of Melinda’s current impact on the industry. She is currently serving on the NAHC/HHFMA Advisory Board and Work Group and is Associate Director on the Home Care Association of Florida Board of Directors. Melinda is also the author of the Home Health OASIS Guide to OASIS-D1.

[3440] Critical Home Health PDGM Claims Processing Update