HCAF: Day 1 of 2 Virtual Medicare PDGM Workshop: Day-to-Day Revenue Cycle Under the PDGM with COVID-19 Updates (SN, OT, & ST - 6.5 CEUs)

The PDGM has brought many changes to home health and the PDGM is not all that reimbursement is made up of. In addition to working through the fine details of the PDGM changes, the workshop will also cover extensive examples for Low Utilization Payment Adjustments (LUPAs), Partial Episode Payments (PEPs), and outlier adjustments. There will be a discussion of pre-billing claim reviews and the significance of them.

The impact of OASIS, ICD-10 coding, and medical review programs have the potential to more directly impact reimbursement than some of the other aspects of the PDGM, and this workshop will get you up to date on all of that as well. Additionally, with cash flow being one of the gravest areas of concern for providers in recent months, this workshop will take you through the basics of cash flow projections and how best to make that work in your organization.

Whether you are a biller, collector, or administrator, this workshop is just what is needed to get you up to date on all things home health reimbursement.

What is billable and non-billable in today’s COVID-19 pandemic world? Can you bill for telehealth visits? Does your physician and non-physician practitioner telehealth face-to-face encounter contribute to your patient eligibility for home health? These and many other questions will be answered in this information-packed two-day workshop. Don’t miss the opportunity to hear strategies and lessons learned during this public health emergency from national speaker Melinda Gaboury, CEO of Healthcare Provider Solutions, Inc.

During this workshop providers will learn why it’s so important to understand the billing flexibilities that were afforded to Medicare providers to ensure cash flow doesn’t stop. If one or more,of these billing parts are missing or are incorrect, agencies set themselves up for denials, Additional Documentation Requests, and a host of other billing dilemmas that should be avoided. Participants will walk away with a much clearer understanding of Medicare billing practices under the PDGM and COVID-19.

Course Author: Melinda Gaboury