Home Health Management Breakout 4 (M4)
Thursday, September 28, 2023 ~ 1:15 - 4:00 p.m. (CDT)
3.0 CNEs
Medicare Advantage: Digging in the Details
Description
Home Health providers are grappling with the shift in the Medicare eligible population into Medicare Advantage Plans (MA Plans). Providers are asking: What are the implications of current demographic trends? What operational and financial issues should providers expect as their payer mix shifts to mostly Managed Care? Being successful in this environment of these payer mix changes requires agencies to understand their costs of treating these patients and other impacts on their operations on an individual contract basis.
Objectives
- Identify Medicare demographic and MA Plan trends
- List key metrics necessary in contracting with managed care plans.
- Develop best practices in implementing strategies to deal with MA patients
Target Audience
Speaker(s)
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Melinda A. Gaboury, COS-C
Chief Executive Officer, Healthcare Provider Solutions, Inc., Nashville, TN
Melinda A. Gaboury, 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 profound experience in Medicare PDGM training, billing, collections, case-mix calculations, chart reviews and due diligence. UPIC, RA, ADR & TPE appeals with all Medicare MACs have become the forefront of Melinda’s current impact on the industry. She is currently serving as Chair of NAHC/HHFMA Advisory Board and Work Group and serves on the Board of Directors for both the Home Care Association of Florida and the Tennessee Association for Home Care. Melinda is also the author of the Home Health OASIS Guide to OASIS-E and Home Health Billing Answers, 2023.
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Continuing Education
Kansas Home Care & Hospice Association is approved as a provider of CNE by the Kansas State Board of Nursing. This course offering is approved for 3.0 contact hours applicable for APRN, RN, or LPN relicensure. Kansas State Board of Nursing provider number: LT0287-0314.
Other disciplines will need to apply independently – a certificate of attendance for 2.5 CE hours will be provided.
