EVENTS
CAHSAH Hospice Billing Webinar Series: Part 3
Speaker(s): Melinda A. Gaboury, CEO
Category: Hospice
Speaker(s): Melinda A. Gaboury, CEO
About the Speaker(s)
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. She is currently serving as the Chair of the NAHC/HHFMA Advisory Board and Work Group and is currently serving on the Board of Directors for both the Home Care Association of Florida & Tennessee Association for Home Care. Melinda is also the author of the Home Health OASIS Guide to OASIS-E and Home Health Billing Answers, 2023.
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About the Event
Part 1:
Thursday, October 15
Hospice Eligibility & Notice of Election
The 2026 Hospice Rule brought some changes in reimbursement that includes rate changes and 2027 is sure to follow with multiple changes. New and experienced hospice billers periodically need a review of eligibility requirements and recent reimbursement and election clarifications. This session will examine eligibility verifications, It will walk through the Late Notice of Election and the exceptions process of appeal. A comprehensive review of all eligibility requirements and all things related to the Notice of Election will be included.
Part 2:
Tuesday, October 20
Medicare Hospice Claims Processing & Election Statement
Recent years have been filled with updates to the Hospice Medicare Billing regulations. Election Statement and Addendum updates are continuing to evolve, and in many cases cause Medical Review issues. Accurate monthly claims and understanding of the navigation surrounding the edits and errors is key to getting paid correctly and timely. This webinar will provide examples of current billing issues and how to troubleshoot those edits. Medical Review will be reviewed and how all aspects of denials that can be tied to billing or Election Statement and Addendums.
Part 3:
Thursday, October 29
Face-to-Face, Physician Billing & HOPE Compliance, Medical Review
Face-to-Face requirements, physician billing, and the aggregate cap self-reporting requirement are a few among many of the daily reimbursement related challenges. A review of specific physician billing codes and discussion of Attending Physician impact will be conducted. HOPE transmission requirements and the penalty for noncompliance will be covered. One year of HOPE in the rear-view mirror will be reviewed and determining what we can look forward to next.