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Speaker(s): Melinda A. Gaboury, CEO, Victoria Barron, Clinical Consultant and Jennifer Osburn, Clinical Consultant
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
Wednesday, May 15:
Hospice Medical Review: Ensuring Agency Compliance and Success
Speaker: Victoria Barron, MBA, BSN, RN, COS-C, Clinical Consultant
10:15 am – 11:15 am CST
Now more than ever, hospices are under intense scrutiny and unprepared hospices may sink under medical review. Best practices to ensure your agency is meeting the requirements of the hospice conditions of payment as well as the conditions of participation will be a lifesaver. From single claim ADRs to Targeted Probe and Educate and even 100% medical review audits, hospices must follow the conditions of participation and the conditions of payment to achieve regulatory compliance and ensure agency sustainability.
Hospice Eligibility Documentation: Drilling Down the Details
Speaker: Melinda A. Gaboury, CEO
12:30 pm – 1:30 pm CST
Session information coming soon!
Thursday, May 16:
How Well Do You Know Your GGs?
Speaker: Jennifer Osburn, RN, HCS-D, COS-C, Clinical Consultant
12:15 pm – 1:15pm CST
Prepare now for the 2025 Discharge Function Score- the change from current outcomes measures based on the M1800 OASIS items to a single measure that relies on the GG OASIS items and impacts 20% of the VBP Total Performance Score. Despite having a full set of GG0130 and GG0170 OASIS items for five years, home health clinicians and clinical leadership staff often remain unable to accurately assess and score (code) the GG items. This session will cover interpreting how the calculation of the Discharge Function Score works for administrators and clinical leadership, as well as instructions for accurately coding the GG items using real-world scenarios and focusing on the most misunderstood aspects of the GG items for clinical leadership and clinicians.
Under-Reporting of Falls and Rehospitalization Rates: Insights for Patient Safety, OASIS, and VBP Success
Speaker: Jennifer Osburn, RN, HCS-D, COS-C, Clinical Consultant
1:30 pm – 2:30 pm CST
Home health agencies have been required to report patient falls with major injury in the OASIS. In 2022, CMS began publicly reporting fall rates on Care Compare. However, a recent OIG report found that agencies failed to report over half of falls with major injury and rehospitalization in their Medicare patients. This session will provide insight into under-reporting of falls, the impact of under-reporting to quality reporting and VBP, and steps you can take to improve patient safety and rehospitalization rates related to falls.