- November 18, 2020
2:00 pm - 3:00 pm
The Patient Driven Groupings Model – PDGM has brought with it many changes and the impact has been felt across the nation. There are significant changes that are going to occur in 2021 and 2022 with the Phasing out of the RAP and the introduction of the Notice of Admission. RAPs will have NO associated reimbursement in 2021, but will carry a monetary penalty if not filed timely. The Notice of Admission completely eliminates that RAP and carries a penalty that could erase all payments for the entire time you have cared for the patient! Preparation is KEY!
Melinda A. Gaboury, COS-C, is Chief Executive Officer of Healthcare Provider Solutions. With more than 28 years in home care, she has over 18 years of executive speaking and educating experience, including extensive day to day interaction with home care and hospice professionals. She routinely conducts home care and hospice reimbursement workshops and speaks at state association meetings throughout the country. Melinda has profound experience in Medicare Prospective Payment System training, billing, collections, case-mix calculations, chart reviews, and due diligence. UPIC, RA, ADR, and TPE appeals with all Medicare Administrative Contractors have become the forefront of Melinda’s current impact on the industry. She is currently serving on the National Association for Home Care & Hospice (NAHC) Home Care and Hospice Financial Managers Association (HHFMA) Advisory Board and Work Group and is Associate Director on the Home Care Association of Florida Board of Directors. Melinda is also the author of the Home Health OASIS Guide to OASIS-D1.