Program Overview

The billing volume for 75% of the current Medicare episodes is likely going to double under PDGM. With request for anticipated payments (RAP) and finals being required every 30 days instead of 60, agencies may need to expand their revenue cycle teams. This webinar will cover details, regarding billing changes under PDGM. There will also be a discussion of the overall impact on the revenue cycle under PDGM and the overall impact of the revenue cycle.

Learning Objectives

• Identify changes to the billing process under PDGM.

• Recognize specific changes to RAPs and Final Claims that is currently available.

• Review revenue cycle structure and key points at which tweaks will need to be made under PDGM.

Intended Audience

Home health CEO, CNO, Managerial staff, supervisors, clinical staff, quality improvement staff and any other interested parties.

Melinda A. Gaboury is co-founder and CEO of Healthcare Provider Solutions, a provider of financial, reimbursement, billing, operational and clinical consulting to the home care and hospice industries. She has more than 27 years in home care and more than 17 years of executive speaking and educating experience with home care and hospice professionals. Gaboury has experience in Medicare prospective payment system training, billing, collections, case-mix calculations, chart reviews, due diligence and Medicare Administrative Contractor appeals. She is currently serving on the National Association for Home Care & Hospice/Hospice Financial Mangers Association advisory board as ex-officio and is associate director on the Home Care Association of Florida Board of Directors. Ganpiru is also the author of the “Home Health Pocket Guide to OASIS-C2: A Reference Guide for Field Staff”.