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This webinar will give you all the current key points to remember with home health billing. We will review the finalized rates from the 2025 Home Health Final Rule and others updates from that rule. We will do a brief overview of the 2025 Home Health Value Based Purchasing changes and discuss the implications for reimbursement. Please don’t miss this informative webinar that will answer your many questions about home health billing. 👍 Thanks for subscribing! https://bit.ly/3ENXZCb GET THE SUPPORT YOUR AGENCY NEEDS --------------------------------------- ► OASIS-E 5-Part Training Series: https://bit.ly/3S65Nlz ► OASIS-E Education: https://bit.ly/4egqjMT ► Coding Education: https://bit.ly/4eeFyFM ► Home Care Coding: https://bit.ly/3S4EzMk ► Home Care Billing: https://bit.ly/3CKi4qn ► HPS Alliance: https://bit.ly/3WDDfW7 -------------------------------------- TIMESTAMPS --------------------------------------- 0:00 Webinar Introduction 0:32 Polling Question #1 1:56 2025 Final Rule Recap Impact on Reimbursement 6:24 2025 Standard Base Rate 8:03 PDGM – Clinical Groupings 9:59 Comorbidity Adjustment 12:48 Low Comorbidity Subgroups 14:39 Patient Driven Groupings Model 17:27 Functional Impairment 19:16 OASIS Points Table 24:44 CBSA Changes 28:39 Case-Mix Weight Adjustments 29:31 LUPA Thresholds 32:35 LUPA Add-on Update 2025 35:42 Notice of Medicare Non-Coverage 38:49 dNPWT Devices 40:22 Home Health Value Based Purchasing 43:54 Annual Payment Adjustment 45:58 Updated Resources for HHVBP 46:17 HHVBP – Future 46:55 Managed Care Plans 47:52 Managed Care Referrals 51:07 Managed Care Verification 53:55 Managed Care Common Missteps 56:11 Authorizations 1:02:40 Five “Rights” of Authorization 1:03:43 Common Information Needed 1:04:39 Continuation of Care for Skilled 1:05:52 Medicaid 1:06:36 Letters of Agreement 1:07:16 Case Management Pro Tips 1:07:44 Case Management Success 1:10:00 Questions 1:20:33 Closing Remarks --------------------------------------- FOLLOW US --------------------------------------- LinkedIn: / healthcare-provider-solutions-inc- Facebook: / hpsalliance X: / hps_alliance YouTube: / @hpsalliance Monday Minute Playlist: • Monday Minute with Melinda --------------------------------------- BLOG --------------------------------------- ► CMS Releases 2025 Home Health Final Rule & Quality Update: https://bit.ly/412kIFu ► Understanding the Most Recent Home Health Value Based Purchasing Model (HHVBP) Reports: https://bit.ly/3VpRLj8 ► Reviewing Rare Updates to the 2025 Home Health Consolidated Billing Listing: https://bit.ly/4e2437X --------------------------------------- Melinda A. Gaboury and D. Mark Cannon, CPA, founded Healthcare Provider Solutions, Inc. in April 2001 to provide products and services to the home care and hospice industries. Their staff of seasoned professionals serve clients nationwide, including the US territories. Healthcare Provider Solutions’ core services include home care & hospice billing and collections, receivable collection projects, outsourced coding, clinical compliance chart reviews, operational reviews, and education through seminars and webinars.