EVENTS
ACHC Home Health Reimbursement Master Class 3: Medicare Advantage Success 2026 & Forward
Speaker(s): Melinda A. Gaboury, CEO
Category: Home Care
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.
Dec 169:30 am - 11:00 am EST Hosted by
ACHCU
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About the Event
Registration Coming Soon!
Home Health Reimbursement 2025
2025 brought even more changes with the updates to the Value-Based Purchasing Expansion. Agencies must develop and implement plans to continue to succeed under the current reimbursement model, PDGM. This workshop will discuss key areas, strategies and processes in assisting an agency with continued success beyond 2025, including updates from the Home Health 2026 Final Rule. This workshop will have a focus on best episode management and process improvement practices including the referral, intake and scheduling processes, timely documentation, physician and patient communication strategies, all of which are required to more tightly manage care within the 30-day payment period. The data utilized in determining impact of medical review and top denials resulting from medical review will be detailed. Lastly, the workshop will include a session on being successful with Medicare Advantage contracting and implementation.
ACHC Home Health Reimbursement Master Class 1: Key Revenue Cycle Elements Related to PDGM
Speaker: Melinda A. Gaboury, CEO
Date: December 2, 2025
11am EST – 12:30pm EST
Summarize key Revenue Cycle Operations affected by PDGM
- Discuss necessary modifications to the intake and referral process under PDGM
- Outline the Impact on case-mix weight with coding and OASIS
- Present data to assist in determining financial impacts of PDGM on an agency
- Explain scheduling strategies to prevent penalties for Late NOAs
ACHC Home Health Reimbursement Master Class 2: Home Health Medical Review & Avoiding Denials
Speaker: Melinda A. Gaboury, CEO
Date: December 4, 2025
10:30am EST – 12:00pm EST
Review the Specifics of Data Resulting in Medical Review
- Detail the impact of claims data on medical review
- Discuss top 5 reasons for Medical Review Denials
- Outline best practices for avoiding medical review denials
ACHC Home Health Reimbursement Master Class 3: Medicare Advantage Success 2026 & Forward
Speaker: Melinda A. Gaboury, CEO
Date: December 16, 2025
9:30am EST – 11:00am EST
Review the details of Medicare Advantage Success
- Provide Detail statistics on where Medicare Advantage is active
- Planning for strategic and longer-term sustainability in partnering with MA Plans.
- Evaluate steps in contracting with Medicare Advantage Plans
ACHC Home Health Reimbursement Master Class 4: Home Health Value Based Purchasing Model
Speaker: Melinda A. Gaboury, CEO
Date: December 18, 2025
11am EST – 12:30pm EST
Detail 2025 Home Health Value Based Purchasing Expansion & Reports
- Outline HHVBP Model for 2026
- Detail Impact of payment adjustments from 2024 data
- Review Interim Performance Reports details