EVENTS
MAHC 2024 Annual Conference & Home Care Exhibition
Speaker(s): Melinda A. Gaboury, CEO
Category: Home Care
- This event has passed.
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
Home Health Final Rule
Wednesday, April 24
1:45 pm – 3:15 pm CST
This session will provide a detailed review of the 2024 Final Rule in Home Health. Any changes that are set to be implemented for 2024 will be reviewed with best practices for implementation. This session will also include the changes finalized to be implemented January 1, 2025, for the Value Based Purchasing Expansion. The significant changes to multiple pieces of the HIPPS code calculation will be highlighted.
Home Health Value Based Purchasing
Wednesday, April 24
3:30 pm – 5:00 pm CST
HHVBP began January 1, 2023. This session will detail the process of the Value-Based Purchasing Model. The Interim Performance Reports began being issued July 2023 and this session will detail review these reports. The session will also review the calculation methodology of VBP Expansion and what agencies should be doing to be successful in 2024 and beyond. The HHVBP changes for 2025 will also be detailed in this session.
Home Health PEPPER Reports
Thursday, April 25
11:00 am – 12:30 pm CST
PEPPER Reports have swiftly become the forefront of everyone’s concern when it comes to Home Health Medicare Medical Review. The PEPPER which is data that is gathered strictly from the processed claims information, carries a very heavy weight in the decision – to Medically Review an agency or NOT. Many of the targets calculated within the PEPPER give home health agencies detailed insight into the claims’ details that may have been overlooked causing issue with the target calculations. This session will take you through key elements in the PEPPER targets and how to review the data in your organization to determine how they can be improved, if needed.
Hospice Medical Review
Thursday, April 25
4:00 pm – 5:30 pm CST
Hospice is on the hot bed of Medical Review in 2024. This session will take agencies through the winding road of Medicare scrutiny. While billing the Medicare benefit and getting paid relatively easily, there is always a risk of things being reviewed at some point and what can you do to avoid denials. Don’t be caught in the comfortable position of believing that everything is okay. Attendees will take away information that will assist in assuring that your hospice truly is prepared for an call for medical review of their charts.
– Define the levels of Medical Review that are currently active – UPIC, SMRC, MAC ADR, and RAC.
– Review how to respond to any level of medical review, including top denials and how to avoid them.
– Discuss data analysis that agencies need to review that could lead to audits.