Medicare PDGM Billing

This seminar offers education and strategy to provide agency owners, administrators, business managers and billing staffs with practical information to equip your agency to collect and retain reimbursements due from all payer sources. The continuing shift in the industry to tie payments to quality services hits home in 2023 with the nationwide implementation of Home Health Value Based Purchasing. National Medicare enrollment continues to move toward enrollees choosing Medicare Advantage Commercial Insurers while the Medicare Fee- For Service enrollment continues to diminish as a percentage of total. Our experienced industry experts will provide valuable practical insight that will be beneficial and enlightening to newly certified or long-standing home health provider administration and staff members.

Seminar Topics Include

  • Latest Home Health Regulatory Updates
  • Home Health Billing Specific Updates – Medicare
  • Home Health Billing Recommendations for Medicare Advantage / Commercial Payers
  • Part B Billing Opportunities relative to home health agencies
  • Navigating Medicare Secondary Payer Billing
  • CMS Medical Review Updates
Medicare Reimbursement - Return to Provider (RTP)

Meet the Speakers

Randy Forest - Medicare Training & Consulting Hospice Training Seminar

Randy Forrest

Senior Healthcare Consultant

Mr. Forrest began his career in 1979 as a Financial Auditor for a government contractor overseeing the Medicare Program. He entered the home health industry in 1992 as CFO for a home care operation in Nashville, TN.

In 1994 he founded Forrest Consulting Services and has been a consultant to the industry since. In 2012 he founded Regulatory Compliance, LLC with the mission to partner with home care and hospice providers to help them navigate the ever-changing regulatory environment.

Randy is a strong provider, advocate, and national speaker; training industry partners in compliant operational practices, regulatory requirements, changes, and reimbursement retention.

As Director with Regulatory Compliance, he provides Interim Executive Management Services and works with a team of experienced home health and hospice clinical professionals to provide operational and clinical compliance oversight, appeals for claim denials, clinical due diligence reviews, operational reviews and cost reporting services. His rounded experience working on “both sides of the fence”, so to speak, is a great advantage for clients. Now as Co-Founder of S.M.A.R.T. Healthcare Compliance Resources he is excited to be part of an organization with a mission to service clients on the front-end of the clinical compliance process.

Dana Eichler

Clinical Consultant, RN BS COS-C

Dana Eichler has 25 years in home care, previously supervised Quality Assurance Department for a large agency with over 800 patients, BS, specializing in billing audits, working knowledge of multiple Point-of-Care software packages, an expert in regulator and JCAHO issues. Dana is also one of our specialized retroactive/prospective CLIA trainers. She also a Certified Oasis Specialist-Clinical.

Headshot Jim Plonsey

James Plonsey

President, Medicare Training & Consulting, Inc.

James E. Plonsey, President of Medicare Training & Consulting, has been involved in healthcare accounting and finance since 1980. He has been a member of the Healthcare Financial Management Association since 1983. Jim is well versed in all aspects of Medicare and Medicaid participation and reimbursement. His background includes experience with providers, with the Blue Cross Association, with a major teaching hospital, and with a major accounting firm; prior to starting his own firm, Medicare Training & Consulting, in 1990. Jim also organizes and conducts seminars on a variety of issues concerning reimbursement.

James Plonsey has over 30 years of healthcare experience including six years with Blue Cross Blue Shield Association, training 750 Medicare auditors for the Fiscal Intermediary. He has owned a Home Health, West Valley Home Health in Utah.

Pricing is Per Day

1 Person

$429

1 Person
Single Agency
Course Materials
Coffee
Lunch

2 Person Total

$829

2 Persons
Same Agency
Course Materials
Coffee
Lunch

3 person Total

$1199

3 Persons
Same Agency
Course Materials
Coffee
Lunch

7 Continuing Education Units (CEUs)

CANCELLATION POLICY:    If Medicare Training and Consulting must cancel a seminar due to low registration, registrants will receive a full refund by their method of payment.  If a participant cancels a reservation, notification must occur 15 or more calendar days before the meeting date for a 100% refund.  A participant may enroll in a future course in lieu of a cash refund.  Medicare Training & Consulting is unable to grant refunds for lodging, airfare, and other expenses.

Upcoming Events

2023 Home Health Survey – February 6, 2023 – Las Vegas, NV

The Date: February 6th, 2023

City: Las Vegas, NV

Hotel Information: Harrah's Las Vegas

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Price: $429.00

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2023 Home Health Survey April 24, 2023 – Las Vegas, NV

The Date: April 24th, 2023

City: Las Vegas, NV

Hotel Information: Harrah's Las Vegas

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Price: $429.00

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Recording: Medicare Update

The Date: December 31st, 2025

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Price: $99.00

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Recording: 2020 Legal issues

The Date: December 31st, 2025

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Price: $99.00

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Recording: Cares Act Funds

The Date: December 31st, 2025

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Price: $99.00

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Recording: FFRCA, Paid Leave

The Date: December 31st, 2025

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Price: $99.00

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Recording: Home Health Billing

The Date: December 31st, 2025

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Price: $99.00

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