This webinar will discuss case management of patients under PDGM and its
impact on cost and outcomes, as well as a deep dive into the removal of the
therapy thresholds that are existent under Prospective Payment System (PPS).
Low Utilization Payment Adjustment (LUPA) levels will be discussed, specifically
how it will work under PDGM.
Identify case management changes and updates of patient care under
Recognize the different LUPA levels for 432 case mix groupings.
Discuss strategies for monitoring therapy visit counts and LUPAs under
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”.