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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.
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About the Event
Part 1: Eligibility Requirements & Notice of Elections
Date: September 30, 2024
As the new fiscal year 2025 kicks off on October 1, 2024 there are numerous changes as a result of the 2025 Hospice Final Rule. This webinar will include all updates for 2025. New and experienced hospice billers should periodically review eligibility requirements and recent reimbursement and election clarifications. This session will examine eligibility verifications and Election Statement and Addendum and Notice of Election requirements under recent regulatory updates. It will walk through the Late Notice of Election and the exceptions process of appeal. A comprehensive review of eligibility requirements, all aspects of dealing with Election Statement changes, and everything related to the Notice of Election will be included.
Part 2: Details of Medicare Claims Processing
Date: October 7, 2024
Recent years have brought an abundance of updates to hospice Medicare billing regulations. Accurate monthly claims and navigating around the edits and errors is key to timely, correct payments. This webinar will review the process step-by-step and provide real-world examples of how to successfully deal with the changes and effectively conduct physician billing. In addition, it will provide an overview of billing requirements for patients with a Medicare Advantage Plan participating in the VBID Model.
Part 3: Face-to-Face, Hospice Cap, Physician Billing & Medical Review
Date: October 10, 2024
Face-to-face requirements, physician billing, and the aggregate cap self-reporting requirement are just a few of the daily reimbursement-related challenges covered in this webinar. HIS transmission requirements and the increased penalty for noncompliance will also be covered, as will medical review denials. This session will provide an update on the PEPPER reports and the data being calculated that directly impacts your hospice. This session will wrap up an extremely important series that your staff needs to attend.