Learn More

THIS WILL BE A VIRTUAL EDUCATION EVENT Description: The purpose of this virtual workshop is to give attendees an up-to-date overview of the operations of a Medicare/Medicaid certified hospice.  The participants will gain knowledge of the Conditions of Participation (CoP), describe Medicare certification and licensure, define hospice core services, levels of care, plans of care, notice of election, revocation, discharge and transfer.  A brief overview of the billing process for Medicare and Medicaid and the basic elements of cost reporting will also be provided. Who Should Attend: This program is developed for newly certified hospice staff including administration and clinical; new staff of an existing hospice; social workers, and private duty hospice administrators considering becoming Medicare certified. This virtual workshop will address:

• Coverage and services available under the Hospice Medicare Benefit
• Conditions of Participation specific to the Hospice Medicare Benefit
• Coordination of care requirements for the hospice patient in a nursing facility
• Medicare’s billing and reimbursement processes for hospice care
• Hospice program differences between Medicare and Ohio Medicaid
• Strategies for managing hospice patients under a PASSPORT/Waiver service plan
• Operational processes important to hospice care and program management
• Available resources related to hospice care delivery and program management

Presenter: Kathy Royer, RN, MBA, DMin, CHPN, CHPCA is the hospice regulatory director for the Ohio Council for Home Care and Hospice.  She is a registered nurse with more than 23 years of experience in hospice.  She served as a corporate division director with a demonstrated history of improvement in quality scores.  She has expertise in hospice and hospital environments.  Kathy is skilled in corporate leadership development, operations management, regulatory consultation, coaching, Palliative Care, team building, and as a cultural change agent.

Learn More

Program Overview: October 14- Hospice Billing Series: Part 1 – Eligibility Requirements & Notice of Election The 2020 Hospice Rule brought some significant changes in reimbursement as well as the content of the actual Election Statement and future Addendum. New and experienced hospice billers periodically need a review of eligibility requirements. Eligibility and requirements for Notice of Election will be detailed during this webinar. The updates to being able to correct a Notice of Election that was not filed, within the allowable time, will be reviewed. This session will walk through the Late Notice of Election and the exceptions process of appeal. A comprehensive review of all eligibility requirements, all aspects of dealing with Election statement changes and all things related to the Notice of Election will be included. AFTER THIS WEBINAR YOU’LL BE ABLE TO: • Review all Eligibility Requirements for admitting patients to Hospice • Define Benefit Periods • Updates to the Content of the Election Statement • Billing Details of Notice of Election • Dealing with Claim issues regarding Late Notice of Election • Update to Late Notice of Election Exceptions & Corrections October 21 - Hospice Billing Series: Part 2 – Details of Medicare Claims Processing Accurate monthly claims and understanding of the navigation surrounding the edits and errors is key to getting paid correctly and timely. This session will take billers through the step by step process of monthly Hospice billing and providing examples of how hospices have successfully dealt with recent changes. The most recent of reimbursement changes will be addressed including proposed changes to the base rates for Hospice levels of care through rebasing. This session will also provide a step by step through the content of the final claims and frequent billing issues. Physician billing will be covered in this session. AFTER THIS WEBINAR YOU’LL BE ABLE TO: • Define distinct levels of care and specifics of billing them • Details of monthly claim content • Outline typical billing issues and how to handle them • Detail newest rate changes due to rebasing/2021 Rates • Outline changes in the Wage Index structure • Define standards for physician billing on hospice claims. October 28 - Hospice Billing Series: Part 3 Face-to-Face, Hospice Cap, HIS & Top 5 Denial Reasons All of the nuts and bolts that hold Hospice reimbursement together will be covered in this webinar. Face-to-Face requirements and the HIS reporting requirement are a couple among many of the daily reimbursement related challenges. A review of specific HIS reporting requirements will be addressed to expand your agency's knowledge of Hospice reimbursement related components. Lastly, the top 5 denials reasons for denied claims under medical review will take agencies a step beyond the basics of just getting a claim processed for payment. AFTER THIS WEBINAR YOU’LL BE ABLE TO: • Review Hospice Face to Face Requirements • Recap the Self Reporting of Hospice Aggregate Cap • List Palliative Care Specific Codes for Billing Part B • Outline HIS Reporting Requirements • Detail Top 5 Medical Review Denial Reasons & How to Avoid 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

Learn More