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Medicare Home Health Billing Series, Part 1 – Intake, Orders, Prebill Audits


The Patient Driven Groupings Model (PDGM) became effective on January 1, 2020. This is the most significant change to the home health care industry reimbursement structure since the introduction of the current Prospective Payment System (PPS) in October 2000. The new payment model dramatically impacts agency operations, processes and performance. Home health agencies must develop and implement plans to successfully transition to the PDGM now. This webinar presentation will review key areas, strategies, and processes in preparing an agency for the PDGM. The speaker will focus on the changes to the 30-day payment model, which will bring significant back office changes, specific to the claims processing and collections.


* Summarize key areas of agency operations impacting revenue cycle under the PDGM;
* Discuss necessary modifications to the intake and referral process under the PDGM, including face-to-face requirements;
* Review order management; and,
* Review significant pieces of the pre-bill audit process.

Event Type:
February 13
10:30 am - 12:00 pm CST
Melinda A. Gaboury, CEO
Hosted By:

Become an HPS Alliance Member!


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.