Home Health Hot Topics Series: LUPAs, PEPs, Outliers & Institutional Credit – PDGM Adjustments

The Kansas Home Care & Hospice Association is pleased to bring you this educational program through an agreement with the Home Care Association of Florida.

Join us for this monthly webinar series that will get you what you need in a short amount of time. As a valued benefit of your KHCHA membership, this informative program delves into the latest hot topics within the Medicare home health sector and is included for FREE to KHCHA members! 

See Full Series Schedule

May's Hot Topic: 

LUPAs, PEPs, Outliers & Institutional Credit - PDGM Adjustments

Tuesday, May 14, 2024 (11:00 AM - 12:00 PM) (CST) - Login in at 10:45

Description

Billing may seem pretty straight forward, but there are many adjustments and decisions, some clinical, that directly impact the calculation of your claim payments.  In this session we will discuss in detail the LUPA, PEP, Outlier & Institutional vs Community adjustments and discuss how they should be reviewed by your agency staff, both proactively and after payment adjustment is made.

Meet the Speaker

Melinda A. Gaboury, COS-C, is Co-Founder and Chief Executive Officer of Healthcare Provider Solutions. With more than 30 years in home care, has over 22 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 extensive experience in Medicare Patient-Driven Groupings Model (PDGM) training, billing, collections, case-mix calculations, chart reviews, and due diligence. Medicare appeals (UPIC, RA, ADR, and TPE) with all the Medicare Administrative Contractors (MACs) have become the forefront of Melinda’s current impact on the industry. She is currently serving as the Chair of the National Association for Home Care & Hospice (NAHC) Home Care and Hospice Financial Managers Association (HHFMA) Advisory Board and Work Group, Treasurer of the Home Care Association of Florida Board of Directors and serves on the Tennessee Association for Home Care Board. Melinda is also the author of the Home Health OASIS Guide to OASIS-E and Home Health Billing Answers 2024.

Registration Fees

Registration fees per session for this series are as follows:

• KHCHA Members: FREE
• Non-Members: $25

An additional registration fee will be charged for each additional non-member login. Participants are encouraged to log in at least 15 minutes before the program begins. Following the webinar, a link to the recording will be emailed to registrants. The recording will be available for two weeks following the date of the live presentation.