Print Page   |   Contact Us   |   Sign In   |   Join
Website Search
Virtual Event: PDGM & Beyond
Tell a Friend About This EventTell a Friend

Virtual Event: PDGM & Beyond
Virtual Event: PDGM & Beyond

6/2/2020 to 6/3/2020

When: June 2-3, 2020
6:00 am - 1:00 pm
Where: Virtual Event
United States

Phone: 480-491-0540 x2

Registration Information
Online registration is closed.

This two-day workshop will take agencies through the current state of PDGM and move through all the aspects of home health reimbursement.  PDGM has brought many changes to home health and PDGM is not all that reimbursement is made up of.  In addition to working through the fine details of PDGM changes the workshop will also cover extensive examples for LUPA, PEP and Outlier adjustments.  There will be a discussion of Pre-Bill claim reviews and the significance of that.  The impact of OASIS & Coding and medical review programs have the potential to more directly impact reimbursement than some of the other aspects of PDGM and this workshop will get you up to date on all that.  Cash flow has been one of the gravest areas of concern in recent months….let us take you through the basics of cash flow projections and how best to make that work in your organization.  Whether you are a biller, collector or Administrator, this workshop is just what is needed to get you up to date on all things Home Health Reimbursement.



 Day 1:  Day to Day Revenue Cycle Under PDGM

1.       Evaluate the PDGM Structure

2.       Detail the significant impact of Intake on Revenue Cycle

3.       HIPPS Code & Episode Exceptions Review

4.       LUPA, PEP & Outlier Calculations

5.       Describe the process for effectively auditing a Chart for purposes of identifying prebill issues, including NonRoutine Supplies

6.       Details of Billing RAP & Final Claim

7.       OASIS & Coding Impact on Reimbursement


    Day 2:  Home Health Reimbursement: Beyond PDGM

1.     OASIS & Coding

2.     Medicare Secondary Payer

3.     Detail Credentialing with Managed Care & Issues surrounding getting paid

4.     Establish processes for effectively monitoring ADR/RA & UPIC reviews

5.     Targeted Probe & Educate

6.     PEPPER Reports – monitoring and evaluating



Melinda Gaboury- is co-founder and Chief Executive Officer of Healthcare Provider Solutions, Inc., an organization out of Nashville, TN that provides financial, reimbursement, clinical and operation services to the home health and hospice industries.  With more than 27 years of experience in Medicare Home Health, she is a presenter at both the state and national levels, and is interviewed frequently for national home health publications.  Ms. Gaboury is also the author of "Home Health Guide to OASIS D: A Reference for Field Staff."  Ms. Gaboury has no conflict of interest in regard to this program.



*AAHC Members
Live Version o rArchived** Version (1 day) $149
Live Version or Archived** Version (2 day) $199

Non-Members add $200 to the above pricing.  Not a Member? Join Today!


Note:  Payment is due prior to the webinar. 


Cancellation Policy

Cancellations must be in writing (via email to by May 27th qualify for a refund less a 25% administrative fee.. Cancellations received after this date or "No Shows" will not be entitled to a refund. If you need to change the contact person/email that will receive the instructions, please contact the AAHC Office at (480) 491-0540 or at least 1 day prior to the webinar (if participating in the Live Version).  




« Go to Upcoming Event List
more Calendar

5/4/2020 » 6/22/2020
Dementia Education Series

6/2/2020 » 6/11/2020
Advanced Coding Education (ACE)

Religion & Politics: Navigating Difficult Topics with Colleagues & Patients (*$149)

When Is the Right Time to Bring in a Consultant? (*$149)

Getting In or Getting Out Considerations in Buying & Selling Home Heath & Hospice Providers (*$149)

Thank You to Our Sponsors

Association Management Software Powered by YourMembership  ::  Legal