How Medicare Reimbursement Is Impacted by OASIS & Outcome Programs

Webinar

REGISTRATION FEE

Registration Deadline: January 19, 2026

Additional registrations receive a discounted rate.

Description

Numerous factors contribute to the calculation of Medicare reimbursement under the Patient Driven Groupings Model (PDGM), as well as various other programs that can also impact reimbursement.  Home Health Value-Based Purchasing (HHVBP), Home Health Care Consumer Assessment of Healthcare Providers and Systems (HHCAHPS), and the Home Health Quality Reporting Program (HHQRP) program can all have a reimbursement impact for Medicare claims.  This session will review the details of these programs and how they directly impact reimbursement for home health agencies.

Objectives

1. Identify all elements that are used to calculate the PDGM HIPPS codes for payment.
   
2. Detail the elements that are used in the HHVBP Total Performance Score (TPS) and how the Linear Exchange Function (LEF) is used to calculate the impact on future Medicare payments.
   
3. Review the measures in the HHCAHPS model that impact the HHCAHPS Star Ratings and impact the calculation of HHVBP and therefore impact payment.
   
4. Outline the requirements of the HHQRP and how noncompliance will create a 2% decrease in future payments.

FACULTY

Melinda A. Gaboury, with more than 33 years in home care, has over 23 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 Chair of the The Alliance/HHFMA Advisory Board and Work Group and is serving on the board of the Home Care Association of Florida and the Tennessee Association for Home Care. Melinda is also the author of the Home Health OASIS Guide to OASIS-E1 and Home Health Billing Answers, 2025.

Recording

This session will be recorded and made available to registrants for 30 days after the webinar.

Continued Education Credits

This program has been designed to meet the continuing education requirements for the Minnesota Board of Nursing, Speech-Language Pathologist and Audiologist Licensing, and the Minnesota Board of Occupational Therapy for 1.5 contact hours. 

A certificate of attendance will also be offered. We will be tracking attendance via zoom and will be auditing the total time spent watching the webinar. The webinar must be watched in its entirety for CEUs, partial credit will not be awarded. A passing score of 80% on the post-webinar quiz will be required for CE.

CONFIRMATION

Prior to the webinar, a Zoom link will be e-mailed to you. You will need to click on this link to access the webinar, a dial-in number and an access code to listen in via telephone will also be provided. You will also be sent any pertinent handouts if available to the email address you provide.

EDUCATION PAYMENT POLICY

Non-Members – Payment in full is required upon registration.

Members – Outstanding invoices 30 days after an event date will incur a $25 late fee per registration.

CANCELLATION POLICY

Cancellations from non-members must be in writing via email and received by MHCA on or before Thursday, January 15, 2026 to receive a refund less a $25 cancellation fee (per registration). No refunds for cancellations made after the cancellation deadline or for no-shows.  

HANDOUTS

Handouts and related materials will be sent to you shortly before the program to the email address you provide. Please feel free to provide an additional email address as a backup.

CODE OF CONDUCT

Please click here to review the MHCA Code of Conduct.

Registration Deadline: Monday, January 19, 2026

QUESTIONS?

Please contact Melissa Stenberg, MHCA Education Manager at (651) 635-0923 or MSTENBERG@MNHOMECARE.ORG