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IHCHC Value-Based Purchasing Boot Camp

Speaker(s): Melinda A. Gaboury

Category: Speaking Engagement

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Speaker(s): Melinda A. Gaboury

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 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, 2022.

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IHCHC Value-Based Purchasing Boot Camp Nov 02
9:00 am - 4:00 pm CST
Hosted by
Illinois HomeCare & Hospice Council

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 workshop 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.   There is much to learn about the details of the outcome calculations.  This workshop will take you through the details of the specific OASIS items that will be used in the VBP outcomes calculations and how each question should be responded to.

  • Review the structure & results from the HHVBP Demo that ended in 2020
  • Review the changes to the measures included in HHVBP
  • Review the changes in the calculation methodology- Detail the calculation process and statistics from the demonstration for Home Health VBP
  • 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
  • Detail the functional M1800 items included in the Composite Mobility & Self Care Measures
  • Evaluate the best clinical practices for getting the best outcomes.
  • Review what agencies should do to prepare for nationwide rollout in 2023