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2018 Proposed Home Health Payment Rule & HHGM Webinar
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2018 Proposed Home Health Payment Rule & HHGM Webinar
2018 Proposed Home Health Payment Rule & HHGM Webinar


When: Thursday, August 31, 2017
12:00-1:30pm CST
Where: Webinar
United States
Melinda Gaboury, CEO, Healthcare Provider Solutions
Allison Kindseth

Phone: 651-635-0923

Registration Information
Online registration is closed.

This webinar is In partnership with the Association for Home & Hospice Care of North Carolina

The 2018 Proposed Home Health Payment Rule and

the Home Health Groupings Model (HHGM)

What is a webinar?

Enjoy the convenience and cost-efficiency of a webinar – watch the speaker’s slide presentation on the internet while listening by telephone or through your computer’s microphone and speakers. There is no limit to the number of attendees from your agency who may participate at your site using one phone line and a computer with internet access.


Registration Fee:

Call into the live webinar or purchase the audio recording (fee is the same). The live webinar includes the opportunity to ask questions of the presenters.

MHCA Member Rate
Non-Member Rate

Registration fees are based on one phone/webinar connection; multiple site participation for your agency will require a separate registration fee for each connection. No CEU granted for this event.  A webinar recording is included with the registration fee.



Medicare Home Health Agencies



The 2018 Proposed Rule for Home Health will have a major impact on agencies, most significantly due to the new payment methodology introduced in this rule for 2019 Implementation:

Home Health Groupings Model (HHGM)

Under HHGM, the 60-day episode of care is replaced with a 30-day period of payment and patients are placed into one of 144 payment groups. The structure of determining the payment grouping is as follows:

  1. Admission Source & Timing (Claims)
    (Community Early, Community Late, Institutional Early or Institutional Late)
  2. Clinical Grouping (Primary Diagnosis)
    Medication Management Teaching & Assessment (MMTA), Neuro Rehab, Wounds, Complex Nursing Interventions, Musculoskeletal (MS) Rehab, Behavioral Health)
  3. Functional Level (OASIS Items)
    Low, Medium, High
  4. Comorbidity Adjustment (Secondary Diagnoses)
    No or Yes

Low Utilization Payment Adjustments (LUPA) will exist in the HHGM, but multiple ways to calculate versus the current standard.

Join one of the nation’s leading experts on the complexities of home health payment for a 90-minute webinar on August 31, 2017 to review the proposed rule and to glean talking points as you develop your own comments to CMS on the Home Health Proposed Rule.



Melinda Gaboury is the CEO of Healthcare Provider Solutions, which provides financial, reimbursement, clinical and cost reporting services to the home care, hospice and rehabilitation therapy industries. Prior to the inception of Medicare PPS, she began researching, auditing and reviewing processes with OASIS, ICD-10 Coding and clinical documentation. She has developed and taught clinician and billing Medicare PPS trainings in a variety of venues.

Cancellation Policy:

Cancellations must be in writing and received by MHCA on or before August 24, 2017 to receive a refund less a $25 cancellation fee. No refunds for cancellations made after the cancellation deadline or for no-shows.


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