4/17/19: Overview of the PDGM Structure
This webinar will take the agency through an introduction to the PDGM structure and the essentials to understand as the webinar series progresses. From the creation of a HHRG, the corresponding case-mix weight and how the determination of a Low Utilization situation might be reviewed, the agency will get a foundation of all that is PDGM.
4/18/19: Financial Analysis of Your Agency
This webinar will take agencies through the process of utilizing all the tools made available by CMS to evaluate what the agency’s reimbursement would look like if PDGM started today. There will also be a review of the financial estimates that CMS has made and a review of the effect that PDGM will have on cash flow.
ICD-10-CM coding will be the ONLY source for both grouping your patient into the Clinical Grouping of the PDGM system, but it will also effect the Comorbidity adjustment. This webinar will explore the list of acceptable primary diagnoses that has been published as the list for PDGM and outline the process of establishing the comorbidity adjustments. Key things to look for and a plan of action will be discussed as agencies begin preparation for PDGM.
5/02/19: Therapy & LUPAs
This webinar will delve deep into the removal of the therapy thresholds, that are existent under PPS, and review how the Functional Impairment calculation for the HHRG under PDGM will be the only financial change driven by OASIS responses. The LUPAs levels will be discussed and comparisons and analogies will be laid out regarding the LUPA under PPS and what the LUPA will look like under PDGM.
5/03/19: Revenue Cycle
The billing volume for 75% of the current Medicare episodes is likely going to DOUBLE under PDGM. With RAPs and Finals being required every 30 days instead of 60, agencies may need to expand their Revenue Cycle teams. This webinar will cover details, that are available at the time, regarding the actual billing changes that will need to occur under PDGM. There will also be a discussion of the overall impact on the revenue cycle under PDGM.
Melinda A. Gaboury, with more than 27 years in home care, has 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 & TPE appeals with all Medicare MACs have become 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 on the Home Care Association of Florida Board of Directors. Melinda is also the author of the Home Health Guide to OASIS-D: A Reference for Field Staff.
Webinar Series: Member - $399, Non-member - $599