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Medicare & Managed Care Reimbursement Necessities

Speaker(s): Melinda Gaboury

Category: Speaking Engagement

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Medicare & Managed Care Reimbursement Necessities Sep 05
8:30 am - 12:30 pm CST
Hosted by
Illinois Home Care Association & Healthcare Synergy

About the Event

To maximize your reimbursement, you need to be well informed. Melinda Gaboury, CEO and a trusted consultant for HealthCare Synergy, will help you stay on top of constantly changing regulatory requirements so you can get paid.

The following objectives will be covered during the presentation:

Detail Home Health 2018 and Proposed 2019 PPS Regulatory Changes
* HHRG and PPS Rate Updates
* Outlier Calculation Changes
* Billing for NPWT Device Use
* Proposed Regulation for 2019

Discuss PEPPER Reports content and their use
* Review Target Areas for PEPPER
* Outline who is reviewing the reports and why
* Detail best practices to improve scores on PEPPER Reports

Evaluate Medicare Managed Care Processes and Contracts
* Detail Credentialing with Managed Care Groups
* Discuss Intake/Authorization/Verification
* Review Best Practices in getting paid by Managed Care Plans