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CAHSAH Annual Conference & Expo

Speaker(s): Melinda A. Gaboury, CEO

Category: Speaking EngagementConference

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Speaker(s): Melinda A. Gaboury, CEO

About the Speaker(s)

Melinda A. Gaboury, with more than 29 years in home care, has over 20 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 on the NAHC/HHFMA Advisory Board and Work Group and is Treasurer on the Home Care Association of Florida Board of Directors. Melinda is also the author of the Home Health OASIS Guide to OASIS-D1 and Home Health Billing Answers, 2021.

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CAHSAH Annual Conference & Expo May 23 - May 26, 2022
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About the Event

M400 | Wednesday, May 25 | 10:45am – 12:15pm 

Value Based Purchasing – Potential Nationwide Rollout
Melinda Gaboury, Healthcare Provider Solutions

The Home Health Value-Based Purchasing (HHVBP) Model was a 5-year demonstration that ended in 2020. This demonstration was active in 9 states. CMS has announced that HHVBP will be implemented nationwide effective January 2022. There are some slight changes to the measures that will be utilized in the program moving forward. As a demonstration, HHVBP, was very effective at saving the Medicare system millions. This webinar will review the Home Health 2022 Proposed Rule regarding the HHVBP nationwide rollout and make suggestions for agencies to smoothly transition into this model. Statistics and experiences from the demonstration will be reviewed. HHVBP rewards HHAs that provide better quality care per outcomes, while agencies with poor outcomes could see reductions in payments. 


M500 | Wednesday, May 25 | 2:15pm – 3:45pm 

PDGM Revenue Cycle & Update on NOA! – Past, Present & Future
Melinda Gaboury, Healthcare Provider Solutions

1- The most significant change agencies have experienced with billing in 2020 is the timely submission requirement for the Request for Anticipated Payment (RAP) and the coming Notice of Admission (NOA) in 2022. RAPs have no associated reimbursement in 2021 but carry a monetary penalty if not filed timely. Are agencies truly surviving 2021 and prepared for the NOA in 2022?
2- Explaining the requirements for running a compliant home health agency to include required therapy operations and therapy documentation requirements. Clinicians will learn about the various outcome measures and how to track and trend their agency’s performance in key areas using the various tools and public reports already at their disposal. 


H400 | Wednesday, May 25 | 10:45am – 12:15pm 

Hospice Eligibility Documentation
Leslie Heagy, Healthcare Provider Solutions

Accurate hospice eligibility documentation is critical to fulfilling the CoPs and payment requirements. The lack of supporting documentation for a terminal prognosis is the number one reason for denial. Reviewers often look for a significant decline in patient condition. Although this is not a requirement of hospice care, terminal prognosis is. The webinar will help clinicians document the slightest changes in baseline measures. More importantly, you’ll learn how to capture in documentation the occurring changes that support terminal prognosis – even without a decline in baseline measures. Go beyond the LCDs and common tools for documenting eligibility by drilling down to the details and characteristics that differentiate terminal and chronic patients with the same diagnosis.