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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.
9:00 am - 12:30 pm EST
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About the Event
Value Based Purchasing Expansion began January 2023 with full implementation nationwide. There is much to be understood about the details of the outcome measure calculations. This session will take you through the detail calculations of the VBP Model. Attendees will get a deep look at the newly released Interim Performance Reports July 2023. 2023 changes to the risk adjustment have made some swings in the outcome calculations and these will be reviewed during the session. Understanding the TPS and the Linear Exchange Function for is important to an agency’s success and this session will provide that.
• Review the structure of the HHVBP Model
• Outline results from the HHVBP Demo/6th Annual Report
• Detail changes to the risk adjustment impacting HHVBP measure calculations
• Review the 1st Interim Reports for the Nationwide HHVBP Expansion
• Discuss Linear Exchange Function Calculation and how payment is impacted