Loading Events
  • This event has passed.
Headshot of Melinda

Home Health Reimbursement at Its Finest


Home Health billers and collectors are extremely important to agencies thriving in the current challenging environment! Directors, Managers and Supervisors must also know the Medicare HH billing requirements as key players in the agency’s financial success and survival. Be the first to be current on all Medicare billing regulations for 2019 & proposed for 2020. If you are part of the revenue cycle in your agency this workshop is a must.

Melinda will lay a strong foundation for your home health staff by providing a more effective approach to the Medicare PPS regulation requirements. She will discuss Medicare patient verification, adjacent episode calculations, details - field by field on claim forms and billing updates. She will present on how to effectively audit a pre-bill for final claim purposes, both Medicare and Non-Medicare Payers, and review the details of billing for Non-Routine Supplies using billing guidelines.

As we all know, more and more scrutiny of agency records has been taking place in the form or ADR and RAC reviews. This session will outline the current risks and outline steps to manage that risk and include how to utilize PEPPER report data as a risk management tool.

CMS has finalized implementation of the Patient Driven Groupings Model (PDGM) in 2020, This workshop will include a session for updating the status of PDGM and what we can expect.


• Review Key PPS Billing Highlights for 2019
• Calculate and evaluate the HHRG, HIPPS Code and Episode Exceptions
• Verify Medicare Eligibility of patients and calculate Adjacent Episodes. Complete a RAP and Final Claim.
• Describe the process for effectively auditing a Chart for purposes of identifying pre-bill issues and Medicare Secondary Payor Issues.
• Describe how to effectively use data such as the Pepper Reports to mitigate financial risk
• Review PDGM and what to is to come.

Melinda A. Gaboury, CEO
Hosted By:
Home Care Alliance of Massachusetts

Become an HPS Alliance Member!


The HPS Alliance is a Membership-based Home Care and Hospice Educational Resource.

Healthcare Provider Solutions is dedicated to providing our clients with industry leading education in order to keep you informed, educated, and performing at the highest level of success.

We provide online education through our HPS Alliance. Our annual membership provides members with the education necessary to establish and maintain a successful agency. Our mission at HPS is to provide the highest quality of products and services to healthcare providers enabling them to maximize their operations potential and enhance reimbursement.



  • Six ninety minute Home Care webinars taught by Melinda A. Gaboury, CEO
  • Six ninety minute Hospice webinars taught by Leslie Heagy, RN, COS-C
  • Two-day Home Care Medicare Compliance/Reimbursement workshop taught by Melinda A. Gaboury, CEO
  • Two-day Hospice Medicare Compliance/Reimbursement workshop taught by Leslie Heagy, RN, COS-C
  • Full access to the Home Care and Hospice Compliance & Reimbursement training video series (updated annually to include the latest regulatory changes)
  • Immediate access to our Home Health & Hospice Audit Tools plus many more Alliance only resources
  • Consulting support from our staff via the Alliance member portal
  • Critical updates affecting the Home Care and Hospice community delivered via our website, social media, and email
  • 10% off hourly consultation services with our team of seasoned professionals

*All Alliance workshops are held in Nashville, TN.

*Access all videos and recordings from the Alliance member dashboard.