Medicare Hospice
Reimbursement Workshop



PROGRAM OVERVIEW

Changes to the Medicare Hospice Regulations have occurred over the past few years and continue. Is your hospice coping? Has your hospice adapted to Payment Reform? Do you know where your agency stands in regards to PEPPER targets?

Be among the elite group of hospice professionals that are current on all Hospice Medicare reimbursement related regulations. This workshop will lay a concrete foundation for hospice billers, as well as, any hospice staff that need to more effectively understand the Medicare regulations. This workshop will include Medicare verifications with HIQA/HETS screen examples, field by field on Notice of Election and claim forms and sequential billing requirements.

The 2018 Claims Requirements will be detailed including a review of the new Routine Hospice rates and SIA payments. This workshop will also detail the CMS Targeted Probe & Educate initiative, in addition to the regulations for face-to-face encounters and pre-claim reviews that should be conducted prior to filing claims. Expert faculty, Melinda Gaboury, of Healthcare Provider Solutions, will conclude this workshop by reviewing PEPPER information and how hospices can work toward improvement in their PEPPER scores.

If you play any part in the responsibility of reimbursement in your hospice this workshop is a must.


LEARNING OBJECTIVES:
  • List the basic eligibility requirements for initiating hospice and billing to Medicare

  • Detail criteria for line item billing Hospice Notice of Election and claims to Medicare

  • Detail specific Medicare regulatory issues affecting hospice reimbursement

  • List the target areas for Hospice PEPPER and the use of the data

 

FACULTY












Melinda Gaboury, COS-C

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

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.



CERTIFICATE OF COMPLETION
& CONTINUING EDUCATION UNITS (CEUs)

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. No partial credits can be given. Certificates are distributed at the close of the program.