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)

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