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Hospice and Home Care Webinar Network – VBID Update: Hospice Benefit Component & Medicare Advantage

Speaker(s): Melinda A. Gaboury, CEO

Category: Hospice

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Speaker(s): Melinda A. Gaboury, CEO

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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Hospice and Home Care Webinar Network – VBID Update: Hospice Benefit Component & Medicare Advantage Jan 18
10:00 am - 11:30 am CST
Hosted by
Hospice and Home Care Webinar Network

About the Event

This webinar will cover the details of the Value-Based Insurance Design Model – Hospice Benefit Component. Medicare Advantage (MA) has long had coverage for home health patients, but there has never been coverage for hospice. VBID is a demonstration that began January 1, 2021. There have been many changes to the Medicare Advantage Organizations (MAO) participating in 2024 as the demonstration has now been extended through 2030. The differences in coverage for an in-network versus an out-of-network provider will be reviewed as will the allowance of MAO plans to force patients to elect in-network only. CMS requires that MAOs provide beneficiaries with broad access to the complete original Medicare hospice benefit.

This webinar will cover all known aspects of the demonstration and will prepare hospices for the reality that Medicare Advantage is now in the hospice world to stay.

AFTER THIS WEBINAR YOU’LL BE ABLE TO:

  • Outline the voluntary process of participation by the MAO plans
  • Review the MAOs participating in the VBID demonstration in 2024 and the impacted states
  • Detail six key elements of the hospice portion of the VBID demonstration
  • Review the instructions for billing the MAO and traditional Medicare when a patient is enrolled in a participating plan
  • Describe the MAO plan payments for participation in VBID