Medicare Advantage: Digging in the Details

[3791] Medicare Advantage: Digging in the Details
This session will assist with details that are needed for success under Medicare Advantage.

Presentation Info:

• TAHC&H Event 54th Annual Meeting | Rich-Media Presentation Capture | Online On-Demand Access
• Presentation Date | August 31, 2023

Program Description: Home Health providers are grappling with the shift in the Medicare eligible population into Medicare Advantage Plans (MA Plans). Providers are asking: What are the implications of current demographic trends? What operational and financial issues should providers expect as their payer mix shifts to mostly Managed Care? Being successful in this environment of these payer mix changes requires agencies to understand their costs of treating these patients and other impacts on their operations on an individual contract basis. This session assists with details that are needed for success under Medicare Advantage.

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

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.

[3791] Medicare Advantage: Digging in the Details