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Home Health Billing Answers, 2023

Product Code: DHPABBILLG23

Quick Overview

Give your billing and collections staff the information they need to bill correctly in the PDGM payment system with Home Health Billing Answers, 2023, or you risk your agency’s financial viability.

Available January 2023

Prefer the 2022 edition? Available now here.

This product is eligible for an AHCC member discount. To redeem, login to your DH store account before adding items to your account. Please visit our AHCC Member Discount FAQs for more information.

ISBN 978-1-64535-204-4

Price: $299.00

Home Health Billing Answers, 2023

Give your billing and collections staff the information they need to bill correctly on the front end and correct denials before they reach auditors with Home Health Billing Answers, 2023.

Written by home health expert Melinda Gaboury, Home Health Billing Answers, 2023, walks you through every step of the billing process and provides crucial tips for avoiding common billing errors. Plus, it explains in plain-English, the confusing billing jargon and acronyms that can trip billers up.

Home Health Billing Answers, 2023, also covers:

  • Updated! Get new FY2023 case-mix categories, codes and OASIS items, and learn how your revenue will be impacted
  • Deep dive into the Patient-Driven Groupings Model (PDGM) to ensure your current admission, coding, documentation and billing processes are in compliance
  • Learn how to calculate your payment in the PDGM payment system
  • Understand how to operate in a payment model based on 30-day episodes, elimination of therapy visits as a factor of payment, new LUPA thresholds
  • Get a primer on how admission source, timing, clinical group, functional level, primary diagnoses and comorbidity adjustment will impact payments
  • Learn to adopt audit processes to ensure that you are collecting the level of detail needed from physicians so that your clinicians and coders can choose the right codes.
  • Get step-by-step instruction on how to complete accurate Medicare claims (with examples)
  • Find out how to avoid the most common billing errors and how to read reject/reason codes
  • Receive an overview of non-covered services, claim types, HCPCS codes, revenue codes and how they are used
  • Billers get the basic guidance needed to minimize denials, PEPs, LUPAs and more
  • Bonus: Tools and templates to ensure your agency gets the money it has earned — and fast!

Melinda A. Gaboury, COS-C, Chief Executive Officer

Melinda A. Gaboury, with more than 29 years in home care, has over 20 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 on the NAHC/HHFMA Advisory Board and Work Group and is Treasurer on the Home Care Association of Florida Board of Directors. Melinda is also the author of the Home Health OASIS Guide to OASIS-D1