Medicare and Managed Care Reimbursement Necessities

Medicare and Managed Care Reimbursement Necessities
To maximize your reimbursement, you need to be well informed. Melinda Gaboury of Healthcare Provider Solutions and a trusted consultant for HealthCare Synergy, will help you stay on top of constantly changing regulatory requirements so you can get paid.


The following objectives will be covered during the presentation:

Detail Home Health 2018 and Proposed 2019 PPS Regulatory Changes
  • HHRG and PPS Rate Updates
  • Outlier Calculation Changes
  • Billing for NPWT Device Use
  • Proposed Regulation for 2019
Discuss PEPPER  Reports content and their use
  • Review Target Areas for PEPPER
  • Outline who is reviewing the reports and why
  • Detail best practices to improve scores on PEPPER Reports
Evaluate Medicare Managed Care Processes and Contracts 
  • Detail Credentialing with Managed Care Groups
  • Discuss Intake/Authorization/Verification
  • Review Best Practices in getting paid by Managed Care Plans


Melinda Gaboury, COS-C has over 27 years of experience in the home care and hospice industries. She has presented for over 25 state home care and hospice associations and national associations. Melinda owns and is the is the CEO of Healthcare Provider Solutions, Inc., a consulting company that bills for 60+ agencies and deals with all three Medicare MACs routinely.


Member: $149.00
Non-member: $249.00

Continuing Education

This course is approved for 3.75 hours of continuing education credit. 
OSF Home Care Services is an approved provider of continuing education for Nursing, Physical Therapy, Occupational Therapy and Social Work by the Illinois Department of Financial and Professional Regulation, Division of Professional Regulation.

Sponsored by:

9/5/2018 8:30 AM - 12:30 PM
NIU Naperville 1120 E Diehl Rd. Naperville, IL 60563 UNITED STATES
Registration not available.

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