Home Health Medicare PPS Billing Workshop

Speaker Information:

Melinda Gaboury is co-founder and Chief Executive Officer of Healthcare Provider Solutions, Inc. (HPS).  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.   The one unique thing that Gaboury brings to the home health field is the development of very effective OASIS and Billing Education while being able to also teach the reimbursement aspect and how they are directly related.

Workshop Information:

Billing is a very critical part of home health. This workshop will lay a concrete foundation for new billers, as well as, experienced billers 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 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 list and billing guidelines. Direct Data Entry Screens will also be reviewed.