EVENTS
KHCHA 2025 Home Health Winter Conference – Day 2
Speaker(s): Melinda A. Gaboury, CEO
Category: Home Care
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
January 13, 2025
Summarize Key Revenue Cycle Operations Affected by PDGM
8:30 am – 10:00 am CST
Speaker: Melinda A. Gaboury, CEO
- Discuss necessary modifications to the intake and referral process under PDGM
- Outline the Impact on case-mix weight with coding and OASIS
- Present data to assist in determining financial impacts of PDGM on an agency
- Explain scheduling strategies to prevent penalties for Late NOAs
Review the Specifics of Data Resulting in Medical Review
10:30 am – 12:00 pm CST
Speaker: Melinda A. Gaboury, CEO
- Detail the impact of claims data on medical review
- Discuss top 5 reasons for Medical Review Denials
- Outline best practices for avoiding medical review denials
January 15, 2025
Review the Details of Medicare Advantage Success
8:30 am – 10:00 am CST
Speaker: Melinda A. Gaboury, CEO
- Provide Detail statistics on where Medicare Advantage is active
- Planning for strategic and longer-term sustainability in partnering with MA Plans.
- Evaluate steps in contracting with Medicare Advantage Plans
Detail 2025 Home Health Value Based Purchasing Expansion & Reports
10:30 am – 12:00 pm CST
Speaker: Melinda A. Gaboury, CEO
- Outline HHVBP Model for 2025
- Detail Impact of payment adjustments from 2023 data
- Review Interim Performance Reports details