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Hospice and Home Care Webinar Network – Hospice Medical Review in a Medicare-Certified World

Speaker(s): Melinda A. Gaboury, CEO

Category: Hospice

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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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Hospice and Home Care Webinar Network – Hospice Medical Review in a Medicare-Certified World May 02
2:00 pm - 3:30 pm CST
Hosted by
Hospice and Home Care Webinar Network
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About the Event

While billing the Medicare benefit and getting paid is relatively easy, there is always a risk of review and denial. Webinar participants will learn to define and outline the response to any level of medical review, including TPE, UPIC, RA, SMRC, and OIG audits.
This session will also cover the data analysis agencies need to review to ensure their medical review risk is limited. Don’t be caught in the position of believing that everything is okay. This session will also cover the new Special Focus Program (SFP) for poor performers. Attendees will learn how to ensure their documentation is accurate and will be able to successfully endure medical review of their charts.
AFTER THIS WEBINAR YOU’LL BE ABLE TO:
  • –  Define medical review contractors and their focus of review
  • –  Detail data analysis used to determine an agency’s area of focus
  • –  Outline the process of submitting charts and content for review
  • –  Define the top five denial reasons for medical review and how to avoid them
  • –  Detail the criteria for hospices being selected for the Special Focus Program