PDGM Webinar Series

Who better to prepare you for PDGM than the Medicare experts?

eSolutions, the Medicare billing experts, has joined forces with home health billing experts to bring you a special webinar series sure to deliver the insights you need to prepare your home health agency for PDGM.

Who should attend? These webinars are for home health professionals in billing, finance, administration and accounting.

Webinar #3:

PDGM Billing Dynamics

December 13, 2019 @ 11:00 a.m. – 12:30 p.m. CST

This webinar will cover all the intricate details of billing RAPs and Final Claims under PDGM beginning January 1, 2020. We will discuss the necessities of eligibility verification, orders management and will outline the specific criteria for billing RAPs and Final Claims. The reimbursement percentages and the impact on cash flow will also be detailed. The Notice of Admission (NOA) that will replace RAPs will now begin in 2022, but the requirement to file a No Pay RAP will still be in place in 2021. Join us and make sure that your billing staff is on top of these critical billing dynamics. This is an imperative webinar for starting out the new year right!

Melinda A. Gaboury, COS-C

CEO
Healthcare Provider Solutions Inc.

Presented By

Melinda A. Gaboury, COS-C, is chief executive officer of Healthcare Provider Solutions Inc., in Nashville, Tennessee. She has more than 27 years’ experience in home care and over 17 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 PPS training, billing, collections, case-mix calculations, chart reviews and due diligence. ZPIC, RA, ADR and TPE appeals with all Medicare MACs are at the forefront of Melinda’s current impact on the industry. She is currently serving on the NAHC/HHFMA Advisory Board as ex-officio and is associate director of the Home Care Association of Florida Board of Directors. Melinda is also the author of the Home Health OASIS Guide to OASIS-D.


Presented by

Karri_Wright_hchb

Karri Wright

Sr. Director of Product Management
Homecare Homebase

As Sr. Director of Product Management at Homecare Homebase, Karri has responsibility for PDGM solution within the HCHB application suite.  Prior to joining Homecare Homebase, she led the EDI Services team for GE Healthcare’s Centricity product, which was a physician practice management solution.  During her time at GE, she also contributed in both Product Management and Upstream Marketing roles. Karri’s experience includes over 20 years in healthcare and healthcare software solutions, where she has lead billing, support, implementation, and product management teams.

Webinar #1:

PDGM’s Behavioral Adjustments – What You Need to Know Now

If you missed this live webinar on August 29, you can watch it now!

Don’t let PDGM’s Behavioral Adjustments negatively impact your agency.

The webinar covers:

  1. Centers for Medicare and Medicaid Services (CMS) assumptions and intended adjustments and their impact on:
    1. Upcoding
    2. Comorbidities
    3. LUPA Avoidance
  2. Considerations for HHAs
  3. Evaluating your HHA data now to assess tomorrow based on today’s reality.

Webinar #2:

PDGM Changes Impacting the Bottom Line

If you missed this live webinar on October 29, you can watch it now!

PDGM will impact your HHA’s bottom line. Preparation now means success under the new model.

The webinar covers:

  1. Admission Source and Period Timing (with Elimination of Therapy) Upcoding
  2. Variable LUPA threshold per Period instead of Episode
  3. 30-day Billing Periods
  4. Other things to manage responsibly:
    1. Comorbidities
    2. Primary Diagnoses
  5. Considerations for agencies