EVENTS
2026 Hospice Regulatory & Reimbursement Workshop
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.
Feb 04 - Feb 05, 20269:00 am - 4:00 pm Hosted by
Healthcare Provider Solutions
About the Event
Wednesday, February 4, 2026 – Burbank
9:00a – 4:00p (PST)
Thursday, February 5, 2026 – Sacramento
9:00a – 4:00p (PST)
Medical Review for Hospice is at an all-time high! Changes to the Medicare Hospice Regulations have occurred over the past few years and continue. Is your hospice thriving? Has Medical Review been an issue for your focus? Are you affected by the Hospice Cap calculation?
Be among the elite group of hospice professionals that are current on all Hospice Medicare related regulations. This workshop will lay a concrete foundation for hospice staff that need a clearer understanding of the Medicare regulations.
The 2026 Claims Requirements will be detailed including a review of the levels of care Hospice rates. The workshop will include the CMS Targeted Probe & Educate details as well as all other levels of medical review that are currently active for hospice. The workshop will conclude with analyzing the regulatory documentation requirements that will assist hospices in improvement in successful medical reviews. If you play any part in the responsibility of Hospice Regulatory Compliance in your hospice this workshop is a must.
9:00 – 10:30 Session 1 – Hospice Eligibility & Notice of Election
- List the eligibility requirements for initiating Hospice and billing to Medicare
- Review eligibility requirements for the Hospice Benefit.
- Review Benefit Periods & Eligibility
- Review Notice of Election details
10:30 – 10:45 Break
10:45 – 12:00 Session 2 – Hospice Election Statement & Certificate of Terminal Illness (CTI)
- Detail criteria for Hospice Election Statement and CTI
- Review the requirements of the Election Statement & Addendum
- Review Certificate of Terminal Illness Requirements
- Review Medical Review denials that are a result of inadequate election statements and CTIs
12:00 – 1:00 LUNCH
1:00 – 2:30 Session 3 – Hospice Medical Review
- Detail Specific Medicare Medical Review Issues affecting Hospice
- Review Hospice Face-to-Face Requirements
- Detail key billing codes that trigger Medical Review
- Audit Risks – CMS Targeted Probe & Educate, SMRC, UPIC & RAC
- Top 5 Denials and Avoiding those denials
2:30 – 2:45 Break
2:45 – 4:00 Session 4 – Hospice Quality Reporting Program
- List the data from claims used in the Hospice Quality Reporting Program (HQRP) and Medical Review decisions.
- Review details of HQRP Compliance
- Detail the elements of the Hospice Care Index
- Review Highlights of CAHPS Hospice Survey and impact of Star Rating