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Speaker(s): Melinda A. Gaboury, CEO, Jennifer Osburn, Clinical Consultant & Tammy Stewart, 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
Monday, November 10
10:25 am – 11:55 am
Home Health: Value Based Purchasing – How are the 2025 Changes Settling In?
Speaker: Melinda Gaboury, CEO
The HHVBP Expansion Model is in full swing moving into the 4th year (2026) where significant changes have been proposed. Has the impact of the 2023 results negatively impacted reimbursement? This session will review the Value-Based Purchasing Model Interim Performance Reports through the October 2025 release. This session will discuss evaluation of your agency’s reports and how to understand which items to be worked on. This session will provide best practices on improving scores, specifically in the OASIS items and HHCAHPS measures. Lastly, the 2026 Proposed changes will be detailed.
1:20 pm – 2:35 pm
Navigating the Managed Care Landscape: Strategies for Home Health & Hospice Success
Speaker: Melinda Gaboury, CEO
We will explore essential workflow best practices and the intricacies of understanding managed care contracts. As the healthcare industry continues to evolve, especially in the realms of home health and hospice, it has become critical for agencies to adapt their operations to ensure quality patient care while maximizing financial performance.
Tuesday, November 11
8:30 am – 9:30 am
Home Health: ICD-10 Coding Update: New Codes & Claims Issues
Speaker: Jennifer Osburn, Clinical Consultant
Every year the ICD-10 code set changes. This session will provide an overview of the 2026 ICD-10 CM changes with a focus on the changes that will be the most consequential for Home Health and Hospice agencies, discuss the impact these changes will have on claims that begin prior to and end after October 1, and identify resolution tips for Return to Provider claims (RTP) due to the dreaded “invalid code.” Your coders need to be current with all changes and this is the session to provide that clarity.
8:30 am – 9:30 am
Hospice Medical Review
Speaker: Tammy Stewart, RN, CPHQ, COS-C
The good, the bad and the ugly of Hospice Medical Review? This session will detail denials that are currently happening in medical review. In addition, the appeal process will be defined with best practices for submitting appeals.
9:45 am – 10:45 am
If It Wasn’t Documented, It Wasn’t Done: Common Documentation Issues Impacting Home Health
Speaker: Tammy Stewart, RN, CPHQ, COS-C
We’ve all heard the line, “if it wasn’t documented, it wasn’t done”. Join us for this informative session that provides examples of common documentation issues and tips to correct or avoid them and how documentation issues may negatively impact your agency during survey AND under medical review.