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Medicare Home Health 2020 Billing: Part 2: Billing & Collecting RAPs & Final Claims (Webinar)


The PDGM brings many changes to the billing process, including doubling 75% of the volume of claims for current Medicare episodes compared to 2019 that will be sent, as well as multiple changes to claims data. With RAPs (Requests for Anticipated Payment) and final claims now required every 30 days instead of 60 days, agencies may need to expand their revenue cycle teams. This webinar will cover details regarding the actual billing changes that will need to occur under the PDGM. We will take you through the details of billing under the PDGM and will review the process that the Medicare Administrative Contractor will go through to calculate the HIPPS code and pay claims. Lastly, this webinar will cover the proposed changes from a RAP to NOA (Notice of Admission) for 2021. There will also be a discussion of the overall impact on the revenue cycle under the PDGM.


* Review the PDGM billing changes;
* Detail the changes to the billing process under the PDGM ;
* Detail the specific changes to RAPs and final claims that is currently available;
* Review the specific impact on billing under the PDGM if agency is under the Review Choice Demonstration; and,
* Review the revenue cycle structure and the key points at which tweaks will need to be made under the PDGM.

Event Type:
February 10
11:30 am - 1:00 pm CST
Melinda A. Gaboury, CEO
Hosted By:

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The HPS Alliance is a Membership-based Home Care and Hospice Educational Resource.

Healthcare Provider Solutions is dedicated to providing our clients with industry leading education in order to keep you informed, educated, and performing at the highest level of success.

We provide online education through our HPS Alliance. Our annual membership provides members with the education necessary to establish and maintain a successful agency. Our mission at HPS is to provide the highest quality of products and services to healthcare providers enabling them to maximize their operations potential and enhance reimbursement.



  • Six ninety minute Home Care webinars taught by Melinda A. Gaboury, CEO
  • Six ninety minute Hospice webinars taught by Leslie Heagy, RN, COS-C
  • Two-day Home Care Medicare Compliance/Reimbursement workshop taught by Melinda A. Gaboury, CEO
  • Two-day¬†Hospice Medicare Compliance/Reimbursement workshop taught by Leslie Heagy, RN, COS-C
  • Full access to the Home Care and Hospice Compliance & Reimbursement training video series (updated annually to include the latest regulatory changes)
  • Immediate access to our Home Health & Hospice Audit Tools plus many more Alliance only resources
  • Consulting support from our staff via the Alliance member portal
  • Critical updates affecting the Home Care and Hospice community delivered via our website, social media, and email
  • 10% off hourly consultation services with our team of seasoned professionals

*All Alliance workshops are held in Nashville, TN.

*Access all videos and recordings from the Alliance member dashboard.