Archives: 2024, February

Regina Wild, LPN

Regina Wild Joins Healthcare Provider Solutions as Director of Managed Care Consulting

By Melinda A. Gaboury, CEO / Posted on: February 21, 2024

Regina Wild, LPN, has joined Healthcare Provider Solutions (HPS) as their Director of Managed Care Consulting. In her role at HPS, Regina specializes in assisting clients with obtaining managed care contracts, conducting rate negotiations, credentialing with health plans, and renegotiating current contracts.

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Monday Minute with Melinda

Recent Edit is Blocking Home Health and Hospice Claims from Being Paid

By Melinda A. Gaboury, CEO / Posted on: February 19, 2024

A recent edit is blocking home health and hospice claims from being paid at Palmetto GBA, and possibly at NGS and CGS as well. The edit, which begins with the number “5” and the letter “Z”, is not only stopping payment but is also changing the bill type to a 320 for home health.

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Monday Minute with Melinda

3 Ways to Avoid Hospice Election Statement Denials

By Melinda A. Gaboury, CEO / Posted on: February 12, 2024

Numerous hospice agencies are dealing with denials due to a prevalent medical review issue, specifically related to the Hospice Election Statement.
The Election Statement was updated in October 2020, emphasizing the inclusion of three specific components.

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Monday Minute with Melinda

Clarifying Common Misconceptions of Patient Driven Groupings Model (PDGM) HIPPS Code Calculations

By Melinda A. Gaboury, CEO / Posted on: February 5, 2024

Common misconceptions regarding the calculation of the Patient Driven Groupings Model (PDGM) HIPPS codes exist and need clarification.

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