Speaker(s): Melinda A. Gaboury, CEO and Jennifer Osburn, RN, HCS-D, COS-C
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
Wednesday, April 30
1:45 pm – 3:15 pm
Speaker: Melinda A. Gaboury, CEO
Home Health Value Based Purchasing – 2025 & Beyond
The Home Health Value-Based Purchasing (HHVBP) model has undergone significant changes for 2025, and agencies must be prepared to adapt. In this comprehensive session, we will take an indepth look at the 2025 payment adjustments, which are based on 2023 performance outcomes. We’ll also review the latest insights from 2024 reports, helping you understand the key metrics driving payment adjustments and where your agency stands in comparison. This session will focus on practical strategies for improving performance, optimizing outcomes, and successfully navigating the evolving landscape of HHVBP. Attendees will leave with actionable steps to adjust operations, enhance quality measures, and position their agency for success under the new model in 2025 and beyond. Don’t miss this opportunity to ensure your home health agency is not only compliant but also thriving under the HHVBP program.
Thursday, May 1
9:15 am – 10:45 am
Speaker: Melinda A. Gaboury, CEO
Hospice Quality Reporting Program (HQRP)
This session will take agencies through the components that make up the HQRP, including confirmation on how to avoid the APU penalty of 4%. A deep dive on the Hospice Care Index (HCI) will be included. The HCI is a critical component of the HQRP and is calculated solely on claims data. Do you know what to review in claims setup in your agency that can ensure the HCI calculation is accurate? This session will also touch on the impact of HOPE on the HQRP outcome measures in the future. Ensure that your outcomes and reimbursement are protected from unintentional penalties.
Thursday, May 1
11:00 am – 12:30 pm
Speaker: Jennifer Osburn, RN, HCS-D, COS-C
How CMS Knows You’re Saving the World: OASIS E1 and 2025 HHVBP Insights
How does CMS know you are “saving the world”, you ask? DATA!! The OASIS data set was designed to collect data for comparison of processes and patient outcomes among home health agencies, and your data tells your story. Understanding the latest OASIS E1 updates and OASIS-Based Value Based Purchasing measures is a key step in ensuring your data accurately reflects the work of your agency’s superheroes. Learn new, changed, and deleted OASIS items as well as guidance for selected items that could be impacting how your agency’s story is publicly reported.
11:00 am – 12:30 pm
Speaker: Melinda A. Gaboury, CEO
Defensible Therapy Documentation: How to Avoid Denials!
This session will get you moving and improving your therapy documentation. Considering all the pressures of limited time, regulations, never-ending audits, and the denial of payments due to lack of medical necessity, therapist must refine their documentation skills to ensure they can support and justify the need for therapy Home Health services. In this webinar we cover the regulatory requirements for medical necessity, how to recognize common mistakes and recognize through examples appropriate documentation. Participants will learn what is required in documentation to support skilled therapy services for reimbursement and skillfully paint a picture of the patient’s care in the notes.
Friday, May 2
8:00 am – 9:30 am
Speaker: Melinda A. Gaboury, CEO
Medicare Advantage: Digging Into the Details
Home Health providers are grappling with the shift in the Medicare eligible population into Medicare Advantage Plans (MA Plans). Providers are asking: What are the implications of current demographic trends? What operational and financial issues should providers expect as their payer mix shifts to mostly Managed Care? Being successful in this environment of these payer mix changes requires agencies to understand their costs of treating these patients and other impacts on their operations on an individual contract basis. This session will assist with details that are needed to identify specific elements of contracts under Medicare Advantage. Melinda will also review key elements for successfully accepting patients, receiving authorization and billing Medicare Advantage claims.