Is your agency prepared for the all the changes that will come with PDGM? This 4-part webinar series with Melinda Gaboury will give you the essentials your agency will need to prepare for PDGM. This series will cover coding changes, OASIS integrity, financial structure changes, LUPA’s, changes revenue cycles, and more!
August 6th - PDGM Structure and Financial Changes
This webinar will take the agency through an introduction to the PDGM structure and the essentials to understand as the webinar series progresses. From the creation of a HHRG, the corresponding case‐mix weight and how the determination of a Low Utilization situation might be reviewed, the agency will get a foundation of all that is PDGM. There will also be a review of the financial estimates that CMS has made and a review of the effect that PDGM will have on cash flow.
August 7th - PDGM Coding & OASIS Integrity
ICD‐10‐CM coding will be the ONLY source for both grouping your patient into the Clinical Grouping of the PDGM system, but it will also effect the Comorbidity adjustment. This webinar will explore the list of acceptable primary diagnoses that has been published as the list for PDGM and outline the process of establishing the comorbidity adjustments. Key things to look for and a plan of action will be discussed as agencies begin preparation for PDGM. A review of how the Functional Impairment calculation for the HHRG under PDGM will be the only financial change driven by OASIS responses and the significance of accurate OASIS data.
August 13th - PDGM Operational Decision Necessities
This webinar will discuss case management of patients under PDGM and the impact on cost, outcomes, etc. that this will impact. There will also be deep dive into the removal of the therapy thresholds, that are existent under PPS, and The LUPAs levels will be discussed and comparisons and analogies will be laid out regarding the LUPA under PPS and what the LUPA will look like under PDGM.
August 14th - PDGM Revenue Cycle Changes
The billing volume for 75% of the current Medicare episodes is likely going to DOUBLE under PDGM. With RAPs and Finals being required every 30 days instead of 60, agencies may need to expand their Revenue Cycle teams. This webinar will cover details that are available at the time, regarding the actual billing changes that will need to occur under PDGM. There will also be a discussion of the overall impact on the revenue cycle under PDGM.
About the Presenter:
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.
Webinar login instructions will be emailed to registered attendees.
Please note: Each registration is for one phone connection.
The Ohio Council for Home Care & Hospice is an approved provider of continuing education by the Ohio Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. (OBN-001-91)(OH-157, 12/1/2019)
RNs and LPNs must participate in the entire program in order for contact hours to be awarded. To apply for nursing contact hours, please return a completed evaluation form and a $10 processing fee for each individual requesting hours.
Members: $379/Line for Full Series
Non-Members: $599/Line for Full Series