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PDGM With 20/20 Vision: A Full-Day Education Program (Birmingham, AL)
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When: March 4, 2020
8:00 AM-4:00 PM CT
Where: ProHealth Group, Inc.
717 37th Street South
Birmingham, Alabama  35222
United States
Contact: Julia Heath
(850) 222-8967

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We are thrilled to be expecting an eager audience of Alabama home health industry professionals at PDGM With 20/20 Vision, a full-day education program. With an exceptional lineup of industry experts, this event truly presents a unique opportunity to hear directly from the pros about the Medicare Patient-Driven Groupings Model (PDGM), key changes to the Outcome and Assessment Information Set (OASIS) and ICD-10 coding, and how your agency can use the PDGM as a starting point to value-era success under the federal IMPACT Act.

Take advantage of the chance to get inspired, prepared, and ready for what's next…register today to make sure your spot is reserved!

Click here to download the event brochure.


Below is the full schedule, followed by complete overviews and objectives for each session.

Time Session Faculty
Registration & Breakfast
8:30-10:15am PDGM 2020: What We Know So Far Melinda Gaboury, Healthcare Provider Solutions
10:15-10:30am Break
10:30am-12:15pm Getting OASIS & Coding Right Under the PDGM in 2020 J'non Griffin, Home Health Solutions
12:15-1:15pm Lunch
1:15-2:30pm Thriving in 2020: How to Use the PDGM as a Starting Point to Value-Era Success Arnie Cisneros, Home Health Strategic Management
2:30-2:45pm Break
2:45-4:00pm Thriving in 2020: How to Use the PDGM as a Starting Point to Value-Era Success (continued) Arnie Cisneros, Home Health Strategic Management

Session Overviews

PDGM 2020: What We Know So Far

Faculty: Melinda Gaboury, Healthcare Provider Solutions

Overview: This session will cover the reimbursement impact of the PDGM, cash flow issues, technicalities of the billing edits, and electronic medical records issues that are surfacing. Additionally, we will review the clarifications that were issued with Medicare's 2020 Final Rule and additional clarifications that have been attained regarding timing special billing situations. Actual calculated reimbursement dollars for the State of Alabama for each of the 432 case mix groupings will also be shared based on confirmed rates in the Final Rule. You don’t want to miss this important session with scenarios and examples in helping you thrive under the PDGM!


Getting OASIS & Coding Right Under the PDGM in 2020

Faculty: J'non Griffin, Home Health Solutions

Overview: Coding and OASIS have always been essential for payment, but under the PDGM, it is now three-fifths of the calculation for reimbursement. Now more than ever, you need to make sure you have all the essentials in place for maximum reimbursement. During this session we will look at common ICD-10 coding and OASIS strategies and scenarios for home health, including querying the physician for more specific information, obtaining accurate face-to-face documentation, and how to sequence diagnoses, since you can have up to 25 on the claim that potentially will affect reimbursement.


Thriving in 2020: How to Use the PDGM as a Starting Point to Value-Era Success

Faculty: Arnie Cisneros, Home Health Strategic Management

Overview: IMPACT Act reforms have come to the home health industry and they outline a new care path for the pending value era. The PDGM, installed for 2020 home health programming, is just the first of the reforms we will confront in the next few years. Medicare changes to the acute episode are affecting providers across the care continuum, from hospitals to home health agencies, and the PDGM is focused on preparing home health to address post-discharge patient needs. By examining the response of Medicare providers outside of home health, we can identify care development and delivery goals that fit the PDGM and subsequent reforms. Through this approach, we can identify where traditional home health care programs may fail to achieve the goals of the value reforms. But, success under the PDGM will require significant changes from how we have operated under the Prospective Payment System (PPS); these changes will challenge many home health industry beliefs we have operated within for years. Philosophical changes may be required, but the PDGM era is designed to morph traditional home health programs into a more value-based model. In addition, many of the PDGM-designed changes to the home health model are required for success under subsequent IMPACT Act reforms, such as pre-claim review and post-acute PPS. This progressive presentation will address how to achieve the PDGM success today as you prepare for future value-based IMPACT Act reforms.

Continuing Education

This educational opportunity is approved for 7.2 continuing education units through Home Health Solutions, LLC (ABNP #1472, expires Oct. 17, 2020). No partial credit will be given. For questions regarding CEUs, please call (888) 418-6970.


Melinda A. Gaboury, COS-C, is Co-Founder and CEO of Healthcare Provider Solutions. With more than 28 years in home care, Melinda has over 18 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 Prospective Payment System training, billing, collections, case-mix calculations, chart reviews, and due diligence. UPIC, RA, ADR, and TPE appeals with all Medicare Administrative Contractors have become the forefront of her current impact on the industry. She is currently serving on the National Association for Home Care & Hospice Home Health & Hospice Financial Managers Association Advisory Board, and is Associate Director on the Home Care Association of Florida Board of Directors. Melinda is also the author of the Home Health OASIS Guide to OASIS-D1.
J’non Griffin, RN, MHA, WCC, HCS-D, HCS-H, COS-C, President of Home Health Solutions, is a 30-year veteran of home care as a registered nurse. She received her Master’s Degree in Health Care Administration in 2005. She has experience as a field nurse, director, and executive with home health and hospice agencies, both large and small. She has served as Director of Staff Development and Appeals for home health and hospice agencies. She has taken part in mock surveys for agencies and prepared agencies for accreditation. She has been directly involved in accreditation surveys, acquisitions, and many regulatory crises with state survey agencies and the intermediary.
Arnie Cisneros, PT, is President of Home Health Strategic Management (HHSM). Arnie has provided clinical services, program development, and management consultation in the areas of post-acute care, sports medicine, and episodic programming for more than 30 years. He is renowned for his adaptation of traditional care philosophies to address current and future health care reform initiatives. HHSM is a leader in the establishment of a utilization review (UR) model for home healthcare development and delivery. The HHSM UR model, SURCH (Service Utilization Review for Care in the Home), was named the 2016 VNAA Innovative Home Health Care Model for its ability to successfully address and program care in terms of the quality requirements. The SURCH model routinely increases care-mix and Home Care Resources Group (HHRG) levels greater than 25 percent, decreases nursing staffing costs while improving productivity, manages care on an in-episode basis, and delivers 4.5- to 5-Star Ratings — all in an audit-proof manner.


The fee to attend this full-day educational event is $249. To register by phone or for more information, please call (850) 222-8967.



HCAF offers a multitude of ways for home care industry vendors to promote products and services, including through educational program sponsorship. Gain additional exposure for your organization by sponsoring this program!

The fee to sponsor this full-day event is $15 per registrant, capped at $750. This fee includes one (1) complimentary representative registration to attend, but does not include a tabletop display due to event space constraints. If more than 50 people register to attend this event it will be relocated to a bigger venue, which might allow sponsors to set up a tabletop display. All sponsoring organization representatives must be registered to attend the event. Additional representatives must register and pay at the $199 per person fee.

Additional sponsorship benefits, for the above package, include:

  • Inclusion of the organization's logo on the official event webpage and event signage;
  • An opportunity to disseminate company marketing materials to the attendees (either placing them at the attendee tables or HCAF can include in attendee handouts);
  • Inclusion of the organization's logo in event related emails;
  • Inclusion of the organization's logo in looping presentation between education sessions; 
  • An opportunity to introduce a session speaker (based on availability and timing of sponsorship commitment);
  • Inclusion in our onsite sponsor directory; and,
  • Attendee registration list (sent via email before and after the event on February 28 and March 11, 2020).

A La Carte Sponsorship Options

  • Full-Page Advertisement Handout for Attendees: $250 (you print and ship to HCAF)
  • Full-Page Advertisement in Attendee Materials: $400 (black and white only)
  • Half-Page Advertisement in Attendee Materials: $200 (black and white only)
  • Audio/Visual Advertisement: $200 (Company ad/slide will be included in a looping presentation that will be rolling between event sessions)
  • Organization Logo on Official Event Webpage: $200

For more information or to express interest in sponsorship, please contact Patti Heid via email or call (850) 222-8967.

Associate Members