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Speaker(s): Melinda A. Gaboury, CEO
About the Speaker(s)
Melinda A. Gaboury, with more than 29 years in home care, has over 20 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 on the NAHC/HHFMA Advisory Board and Work Group and is Treasurer on the Home Care Association of Florida Board of Directors. Melinda is also the author of the Home Health OASIS Guide to OASIS-D1 and Home Health Billing Answers, 2021.
About the Event
Value Based Purchasing: Functional Scores and Best Practices
Outline the 5-year HHVBP demonstration and impact on 9 participating states. This session will detail the changes to the HHVBP in the last 2 years of the demonstration. In addition, we will analyze how the HHVBP model affected outcomes for everyone.
- Review the structure to the HHVBP that ended in 2020
- Review the changes to the measures included in HHVBP
- Detail the functional M1800 items included in the Composite Mobility Measures
- Evaluate the best clinical practices for getting the best outcomes.
- Review what agencies should do to prepare for nationwide rollout
Value Based Purchasing: HHCAHP Survey and Best Practices
This session will review the exact groupings and specific questions from the HHCAHP survey that will impact the nationwide rollout of VBP. This session will also look at the calculation of Achievement & Improvement scores utilized in VBP calculations and how they apply to HHCAHP scores.
- Detail the calculation for Achievement and Improvement in VBP
- List the exact HHCAHP Survey questions that are included in the VBP calculations
- Evaluate the best practices for getting the best outcomes with HHCAHP surveys
- Review what agencies should do to prepare for nationwide rollout in regard to HHCAHP
Value Based Purchasing: Claims Data and Best Practices
This session will review the current measures and the newest outcome measure that will be utilized in calculating the claims-based measure outcomes in VBP. This session will also look at the calculation of the overall Total Performance scores & the Linear Exchange Function utilized in VBP calculations and how they are impacted by the claims-based scores.
- Detail the calculation for Total Performance Score in VBP
- Detail the calculation for the Linear Exchange Function in VBP
- List the exact items used in calculating the claims-based measures in VBP calculations
- Evaluate the best practices for getting the best outcomes with claims-based measures
- Review what agencies should do to prepare for nationwide rollout in regard to claims-based measures