EVENTS
2026 Home Health Reimbursement Workshop
Speaker(s): Melinda A. Gaboury, CEO
Category: Home Care
Speaker(s): Melinda A. Gaboury, CEO
About the Speaker(s)
Melinda A. Gaboury, with more than 30 years in home care, has over 22 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 PDGM training, billing, collections, case-mix calculations, chart reviews and due diligence. UPIC, RA, ADR & TPE appeals with all Medicare MACs have become the forefront of Melinda’s current impact on the industry. She is currently serving as the Chair of the NAHC/HHFMA Advisory Board and Work Group and is currently serving on the Board of Directors for both the Home Care Association of Florida & Tennessee Association for Home Care. Melinda is also the author of the Home Health OASIS Guide to OASIS-E and Home Health Billing Answers, 2023.
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About the Event
This comprehensive day of Home Health Reimbursement is going to give agencies the biggest and best chance to fully understand the current payment systems. This will assist in monitoring and know what to track within your agencies. This workshop provides a quick overview of the PDGM structure and operations along with a review of the concerns and opportunities triggered by PDGM. Other elements of the workshop will assist agencies in monitoring their reimbursement impact and analyzing what will be necessary to adjust with updates in 2026. Medicare Advantage updates will be included. The Home Health Value-Based Purchasing Model which has taken our agencies by storm will be detail reviewed in analyzing the first two years of results and where we are headed with 2026 changes.
May 19, 2026
8:30 – 10:00 Session 1 – PDGM – Key Elements of Successful Medicare Reimbursement
- Outline the structure of PDGM
- Review the pieces of the HIPPS Code
- Review the reimbursement changes from the 2026 Final Rule
- Review the impact of NOE Billing Errors
10:00 – 10:30 Break
10:30 – 12:00 Session 2 – Medicare Advantage Success 2026 & Beyond
- Provide Detail statistics on Medicare Advantage activity
- Planning for strategic and longer-term sustainability in partnering with MA Plans.
- Evaluate steps in contracting with Medicare Advantage Plans
May 20, 2026
8:30 – 10:00 Session 1 – Medical Review: Surviving the Scrutiny
- Detail Specific Medicare Medical Review Issues affecting Home Health
- Review 2026 HH Face-to-Face Requirements
- Detail key triggers for Medical Review
- Audit Risks – CMS TPE, SMRC, UPIC & RAC
- Top 5 Denials and Avoiding those denials
10:00 – 10:30 Break
10:30 – 12:00 Session 2 – Home Health Value Based Purchasing Model: What’s Next?
- Detail the HHVBP Model & Most Recent Results
- Review details of the measures in the HHVBP Model for 2026
- Detail review the Interim Reports
- Review Best Practices for Improving Scores