Description

Join us for this monthly webinar series that will get you what you need in a short amount of time. As a valued benefit of your HCAF membership, this informative program delves into the latest hot topics within the Medicare home health sector and is included for free to HCAF Certified and Combination members!

This Month's Hot Topic: LUPAs, PEPs, Outliers & Institutional Credit – PDGM Adjustments 

Billing may seem pretty straight forward, but there are many adjustments and decisions, some clinical, that directly impact the calculation of your claim payments.  In this session we will discuss in detail the LUPA, PEP, Outlier & Institutional vs Community adjustments and discuss how they should be reviewed by your agency staff, both proactively and after payment adjustment is made.  

Meet the Speaker

Melinda A. Gaboury, COS-C, is Co-Founder and Chief Executive Officer of Healthcare Provider Solutions. 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 extensive experience in Medicare Patient-Driven Groupings Model (PDGM) training, billing, collections, case-mix calculations, chart reviews, and due diligence. Medicare appeals (UPIC, RA, ADR, and  TPE) with all the Medicare Administrative Contractors (MACs) have become the forefront of Melinda’s current impact on the industry. She is currently serving as the Chair of the National Association for Home Care & Hospice (NAHC) Home Care and Hospice Financial Managers Association (HHFMA) Advisory Board and Work Group, Treasurer of the Home Care Association of Florida Board of Directors and serves on the Tennessee Association for Home Care Board. Melinda is also the author of the Home Health OASIS Guide to OASIS-E and Home Health Billing Answers 2024. 

Sponsors Welcome

HCAF offers a multitude of ways for home care industry vendors to promote products and services, including through educational program sponsorships. Click here to learn about the benefits of sponsorship, or contact us by calling (850) 222-8967 or sending us a message.