2017 Home Health Medicare
PPS Billing Workshop

The Home Health PPS Regulation for implementation January 2017 has brought about changes to the PPS System, but most importantly more cuts in reimbursement. The billers and collectors are extremely important to agencies thriving in the current system so do not miss this needed education!

Be the first to be current on all Medicare billing regulations implemented in 2017. This workshop will lay a concrete foundation for home health billing, as well as, financial staff by giving billers a more effective approach to the Medicare PPS regulation, conducting Medicare verifications and understanding adjustments. We will discuss Medicare verifications on patients with HIQH/HETS screen examples & review adjacent episode calculations - field by field on claim forms.

We will review the process of auditing a pre-bill for final claim purposes, both Medicare and Non-Medicare Payers, and review the details of billing for Non-Routine Supplies using billing guidelines. More and more scrutiny of agency records has been taking place in the form or ADR and RAC reviews. This session will outline the current risks and outline steps to manage that risk. If you are part of the revenue cycle in your agency this session is a must.

At the conclusion of this workshop, participants will be able to:
  • Calculate and evaluate the HHRG, HIPPS Code and Episode Exceptions.
  • Verify Medicare Eligibility of patients and calculate Adjacent Episodes. Complete a RAP and Final Claim form.
  • Describe the process for effectively auditing a Chart for purposes of identifying prebill issues and Medicare Secondary Payor Issues.
  • Establish processes to improve revenue cycle management.


Melinda Gaboury, CEO
Healthcare Provider Solutions, Inc.

Founder & CEO of Healthcare Provider Solutions, Inc. Melinda Gaboury and Mark Cannon founded the company in April 2001 to provide financial, reimbursement, clinical and cost reporting services to home health agencies and hospice. Prior to the inception of Medicare PPS Gaboury began researching, auditing and review processes with OASIS, ICD-9 Coding and clinical documentation. She has developed and taught clinician and billing Medicare PPS Training Workshops in a variety of venues. Gaboury’s priority remains bridging the gap between clinical and financial issues in home health agencies. Gaboury has been a speaker for several state home care associations. In addition to her speaking engagements and consulting, she is author of Home Health Pocket Guide to OASIS-C.


Cancellations are subject to 20% handling fee, there will be NO REFUNDS issued for cancellations received within 10 business days prior to program. Cancellations must be in writing. Refunds will NOT be made for no-shows. However, substitutions will be allowed. Should CAHSAH® cancel the program, a full registration fee refund will be issued.


Provider approved by the California Board of Registered Nursing (Provider #CEP2463) for six and one half (6.5) contact hours of continuing education. You must be present for the entire workshop to earn Continuing Education Units. Certificates are distributed at the close of the program.
No partial credits can be given.