MASTER CLASS SERIES
Guidance from Top Industry Experts
Learn from the best.
Industry specialists from across the nation lead master classes designed to take your organization to the next level.
Each master class series is designed to give you a set of practical ideas and actions to improve your organization, and you’ll also gain access to a master educator to answer your questions at the end of each session.
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2025 Hospice Reimbursement Master Class
$499
Navigating the evolving landscape of Medicare Hospice Regulations can be complex. With ongoing changes to reimbursement rules, it’s crucial to stay ahead. Is your hospice thriving, or are issues like Medical Review and the Hospice Cap calculation affecting your success?
Join an exclusive group of hospice professionals for this comprehensive Master Class, designed to give you a solid understanding of the latest Medicare regulations. This session will provide clarity for hospice billers and staff who need to grasp the nuances of Medicare’s policies. We will cover:
- Medicare Notice of Election & Claims Requirements: Understand the detailed requirements for notices and claim forms.
- 2025 Claims Requirements: A deep dive into the updated hospice billing requirements and care rate levels.
- CMS Targeted Probe & Educate Program: Key insights into the program and how it impacts your hospice.
- Medical Review Levels: Learn about the active levels of medical review affecting hospice providers.
- PEPPER Analysis: How to analyze and improve your hospice's PEPPER scores to avoid financial risk.
Whether you're directly responsible for reimbursement or simply want to stay informed, this workshop is an essential opportunity to ensure your hospice stays compliant and thrives in the ever-changing Medicare environment.
Designed for Your Busy ScheduleEach class includes a presentation and Q&A session. Attend live or view recordings of each session at your convenience. On-demand classes will be available at the conclusion of the live series.
Taught by Melinda A. Gaboury, COS-C, Co-Founder and CEO, Healthcare Provider Solutions, Inc.
Melinda has over 30 years of experience in the home care and hospice industries. She is an expert in Medicare PDGM training, billing, collections, case-mix calculations, chart reviews, and due diligence.
Class 1 | 10:00 a.m. to 11:30 a.m. ET Thursday, July 31, 2025
Hospice Eligibility and Notice of Election
List the eligibility requirements for initiating hospice and for billing to Medicare.
- Review eligibility requirements for the hospice benefit.
- Review benefit periods and eligibility.
- Review Notice of Election details.
1.5 nursing contact hours are available for this session.
Class 2 | 10 a.m. to 11:30 a.m. ET Tuesday, August 5th, 2025
Hospice Election Statement and Billing Claims
Detail criteria for billing the hospice election statement and claims to Medicare.
- Review the requirements of the election statement and addendum.
- Review sequential billing requirements.
- Review current VBID billing and what happened on 1/1/2025.
1.5 nursing contact hours are available for this session.
Class 3 | 10:00 a.m. to 11:30 a.m. ET Thursday, August 7th, 2025
Hospice Billing: HIS Transmission Requirements, PEPPER, Palliative Care
Detail specific Medicare regulatory issues affecting hospice reimbursement.
- Review face-to-face requirements for hospice.
- Review Certification of Terminal Illness details.
- Review audit risks – CMS Targeted Probe and Educate, SMRC, UPIC, and RAC.
1.5 nursing contact hours are available for this session.
Class 4 | 10:00 a.m. to 11:30 a.m. ET Thursday, August 14th, 2025
Hospice Quality Reporting Program and Claims Data
List the most common data from claims used in the Hospice Quality Reporting Program (HQRP) and medical review decisions.
- Review details of HQRP compliance, including details of the Hospice Care Index and how data is incorporated from claims.
- List the most recent target areas for hospice PEPPER and how the data is used, and review steps agencies should take to improve their scores.
1.5 nursing contact hours are available for this session.
