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Speaker(s): Melinda A. Gaboury, CEO & Tammy Stewart, RN, CPHQ, 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
Monday, May 5, 2025
Hospice Conditions of Participation Versus Conditions of Payment: Understanding the Difference
Speaker: Tammy Stewart, RN, CPHQ, COS-C
1:20pm – 2:35pm CST
While following the Hospice Conditions of Participation are essential for regulatory compliance, compliance related to the Hospice requirements for coverage AKA the “conditions of payment” are essential to ensure your agency is paid for the outstanding care you provide. This session will discuss the associated conditions of participation as well as the Hospice payment requirements that directly impact payment of Hospice claims.
Tuesday, May 6, 2025
Home Health Value Based Purchasing – How are the 2025 Changes Settling In?
Speaker: Melinda A. Gaboury, CEO
8:30am – 9:30am CST
The HHVBP Expansion Model is in full swing starting its 3rd year and 1st year of changes. Has the impact of the 2023 results negatively impacted reimbursement? This session will review the Value-Based Purchasing Model Interim Performance Reports through the January 2025 release. This session will discuss evaluation of your agency’s reports and how to understand which items to be worked on. This session will provide best practices on improving scores, specifically in the OASIS items and HHCAHPS measures. Value Based Purchasing is here to stay and agencies should working to improve scores. This session will include SPECIFIC Tennessee stats from 2023 Annual Report.
Hospice Quality Reporting Program: Avoiding Penalties
Speaker: Tammy Stewart, RN, CPHQ, COS-C
9:45am – 10:45am CST
This session will describe the components of the Hospice Quality Reporting Program (HQRP) and the financial impact for hospice providers who do not meet the reporting requirements. You will learn the changes in the HQRP that were finalized in the Hospice 2025 Payment Rule, specifically changes to the CAHPS Hospice Survey and updates to the outcome measures.