Home Health Reimbursement Workshop

Date: January 14 & 22, 2025

Time: 5:30 AM - 9:00 AM

Location: Webinar

Register

Workshop Description
January 2025 brings even more changes with the updates to the Value-Based Purchasing Expansion.  Agencies must develop and implement plans to continue to succeed under the current reimbursement model, PDGM.  This workshop will discuss key areas, strategies and processes in assisting an agency with continued success in 2025.  This workshop will have a focus on best episode management and process improvement practices including the referral, intake and scheduling processes, timely documentation, physician and patient communication strategies, all of which are required to more tightly manage care within the 30-day payment period.  The data utilized in determining impact of medical review and top denials resulting from medical review will be detailed.  Lastly, the workshop will include a session on being successful with Medicare Advantage contracting and implementation.

January 14, 2025

8:30 – 10:00 Session 1 – Key Revenue Cycle Elements Related to PDGM

Summarize key Revenue Cycle Operations affected by PDGM

• Discuss necessary modifications to the intake and referral process under PDGM
  • Outline the Impact on case-mix weight with coding and OASIS
  • Present data to assist in determining financial impacts of PDGM on an agency
  • Explain scheduling strategies to prevent penalties for Late NOAs

10:00 – 10:30 Break

10:30 – 12:00 Session 2 – Home Health Medical Review & Avoiding Denials

Review the Specifics of Data Resulting in Medical Review

•      Detail the impact of claims data on medical review
•      Discuss top 5 reasons for Medical Review Denials
•      Outline best practices for avoiding medical review denials

January 22, 2025

8:30 – 10:00 Session 1 – Medicare Advantage Success 2025 & Forward

Review the details of Medicare Advantage Success

• Provide Detail statistics on where Medicare Advantage is active
• Planning for strategic and longer-term sustainability in partnering with MA Plans
• Evaluate steps in contracting with Medicare Advantage Plans

10:00 – 10:30 Break

10:30 – 12:00 Session 2 – Home Health Value Based Purchasing Model

Detail 2025 Home Health Value Based Purchasing Expansion & Reports

• Outline HHVBP Model for 2025
• Detail Impact of payment adjustments from 2023 data
• Review Interim Performance Reports details

Presenter: Melinda A. Gaboury, COS-C
CEO - Healthcare Provider Solutions
Melinda A. Gaboury, with more than 30 years in home care, has over 22 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. Melinda is currently Chair of the NAHC/HHFMA Advisory Board and Work Group, is Treasurer on the Home Care Association of Florida Board of Directors, and a member of the Tennessee Association for Home Care Board of Directors. Melinda is also the author of the Home Health OASIS Guide to OASIS-E and Home Health Billing Answers, 2024.

CONTINUING EDUCATION CREDITS
This educational activity is eligible for 6.0 nurse contact hours. The Association for Home & Hospice Care of NC is approved as a provider of nursing continuing professional development by the North Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

CONFIRMATION
Prior to the webinar, you will receive a Zoom confirmation email which will include a join link to access the webinar, a dial-in number and an access code to listen in via telephone. You will also be sent any pertinent handouts if available.

Registration Fee: The registration fee covers one individual and one continuing education (CE) certificate (if applicable). Multiple site participation from individuals within your agency will require separate registration. For example: if your agency has paid for 1 participating registration but 3 people from your agency would like to attend (and receive CE credit), your agency will need to pay a separate registration fee for all 3 participants. In addition, if your agency has sent in 1 registration but 3 people from your agency register through the Zoom link, your agency will be invoiced the registration fee for the additional 2 registrations. The handouts will be emailed to you to the email address you provide.

Cancellation and Substitution Policy: Fees will be refunded, or invoices will be adjusted, only if written notice of cancellation is received by OAHC one week prior to the event.

Recording: The recording for this webinar will be made available for 30 days following the webinar.

QUESTIONS?
Please contact Brandy Sweet at [email protected] with questions. 

Registration Fee: OAHC Members:  $199 per line; Non-Members:  $299 per line. 

Oregon Association for Home Care 417 2nd St. Ste. 101 Lake Oswego, OR 97034