[3273] PDGM – Changes Can Not Start Soon Enough!
Highlights the areas impacted and outlines process changes to assist agencies in optimizing operations performance.
TAHC&H CONFERENCE RECORDING: This program was presented on 08/27/2019 at the Texas Association of Home Care & Hospice 50th
Annual Meeting in Grapevine. It is one of 17 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: August 27, 2019
- TAHC&H Event: TAHC&H Annual Meeting | Grapevine
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:
- §97.259[d][4]agency responsibilities
- §97.260[a][3]basic principles of management in a licensed health-related setting
- §97.260[a][6]risk assessment and management
- §97.260[a][7]financial management
Program Description: The most significant change in Homecare Reimbursement in 20 years will go into effect
January 2020. The Patient Driven Groupings Model – PDGM is complicated, confusing and overwhelming. Operational areas likely impacted under the new
payment model include referral and sales management, intake, revenue cycle, operational reporting, order and supply management, and much more. This
program highlights the areas impacted and outlines process changes to assist agencies in optimizing operations performance under PDGM to succeed
under this new payment model.
Program Learning Outcome: Participants will actively participate in the learning activity and indicate an intent to change their practice by
implementing policies and clinical practices to uphold quality patient care measures and maximize reimbursement under the Patient Driven Groupings Model.
TAHC&H Faculty/Presenter: Melinda A. Gaboury, COS-C, CEO, Healthcare Provider Solutions, Inc.
About the Presenter:
Melinda A. 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.
[3273] PDGM – Changes Can Not Start Soon Enough!