Hospice 2022 Update and Cap Calculation
Covers aggregate cap self-reporting, HIS transmission and details of VBID Model for Hospice.
- TAHC&H Event | 52nd Annual Meeting & Conference | Recorded for On-Demand Access
- Presentation Date | September 15, 2021
- 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]agency responsibilities
- §558.260[a]basic principles of management in a licensed health-related setting
- §558.260[a]financial management
Program Description: 2022 is sure to be another year of fast paced excitement with the Hospice Benefit.
This program takes you through the current calculation of the aggregate cap self-reporting requirement. In addition, the current HIS
transmission requirements and the impact of noncompliance on reimbursement is covered along with the details of the Value-Based
Insurance Design (VBID) Model – Hospice Benefit Component. CMS will require 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.
TAHC&H Faculty/Presenter(s): Melinda A. 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 toOASIS-D1.
 Hospice 2022 Update and Cap Calculation