EVENTS
Calculations of the Total Performance Score
Speaker(s): Melinda A. Gaboury, CEO
Category: Speaking Engagement
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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 AHC/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.
About the Event
Value Based Purchasing full implementation is set to begin January 2023. There is much to learn about the details of the outcome calculations. This session will take you through the detail calculations of the VBP Model. It will look at how the agencies did in the demonstration that took place in 9 states. It will also detail what we know to be the calculations of the TPS and the Linear Exchange Function for the nationwide rollout.
- Detail the calculation process and statistics from the demonstration for Home Health VBP
- Review what agencies should do to prepare for nationwide rollout coming in 2023
- Detail the calculation of the Total Performance Score – Improvement & Achievement
- Review examples of the Linear Exchange Function calculation used to determine impact on future payments