HCAF: Home Health Medicare PPS Billing Part 1 (SN, OT & ST - 1.5 CEUs)

1 module


Course Length
90 mins

HCAF eLearning



The Home Health PPS Regulation for implementation January 2016 has brought about changes to the PPS System, but most importantly more cuts in reimbursement. The billers and collectors are extremely important to agencies thriving in the current system so do not miss this needed education! Be the first to be current on all Medicare billing regulations implemented in 2016. This webinar series will lay a concrete foundation for home health billing, as well as, financial staff by giving billers a more effective approach to the Medicare PPS regulation, conducting Medicare verifications and understanding adjustments. We will discuss Medicare verifications on patients with HIQH/HETS screen examples & review adjacent episode calculations - field by field on claim forms. We will review the process of auditing a pre-bill for final claim purposes, both Medicare and Non-Medicare Payers, and review the details of billing for Non-Routine Supplies using billing guidelines. More and more scrutiny of agency records has been taking place in the form or ADR and RAC reviews. The webinars will outline the current risks and outline steps to manage that risk.

If you are part of the revenue cycle in your agency these webinars are a must!

Course instructor - Melinda Gaboury


Attendees will be able to:

  1. Express and understanding of the Home Health PPS Reimbursement Structure
  2. Calculate a HHRG from OASIS-C1 Item Scores
  3. Detail the Episode Exceptions to the PPS Episodic Payments
  4. Calculate Adjacent Episodes


By completing/passing this course, you will attain the certificate HCAF Course Certificate

Learning Credits

2016 Home Health Medicare PPS Billing Part 1
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Added over 6 years ago, by Javier

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