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Who's Paying? Navigating Medicare, MassHealth, Managed Care, MCOs, MACs, and the VA in Home Health

October 20, 2026 1:00 PM - 2:00 PM (EDT)

Description

Who's Paying? Navigating Medicare, MassHealth, 
Managed Care, MCOs, MACs, and the VA in Home Health

October 20, 1:00 pm - 2:00 pm

Medicare is no longer the whole story. Home health agencies today must fluently navigate traditional Medicare, Medicare Advantage, MassHealth, Managed Care contracts, MAC jurisdictions, and the VA — each with its own authorization requirements, billing rules, documentation standards, and reimbursement structures. Treating them the same is one of the most expensive mistakes an agency can make. 
This session delivers a plain-language, side-by-side breakdown of every major payer type, what agencies must know to bill correctly across a mixed book of business, and how to build internal processes that protect reimbursement — regardless of who's paying.
Learning Objectives:
  • Distinguish the billing, authorization, and documentation requirements across Medicare, Mass, Medicare Advantage/MCOs, Managed Care, MAC jurisdictions, and the VA
  • Identify the most common payer-specific compliance and reimbursement pitfalls home health agencies face
  • Apply a payer-mix analysis framework to assess and strengthen their agency's multi-payer reimbursement performance
  • Develop internal workflows that adapt across payer types without sacrificing compliance or cash flow

Speaker:


Petria McKelvey, CEO/President, Precision Medical Billing

Petria McKelvey is CEO/President and Founder of Precision Medical Billing (PMB), a leading provider of customized medical billing and auditing solutions for home health and hospice agencies, physicians, Durable Medical Equipment (DME) providers, Emergency Medical Services (EMS), and nursing homes across the U.S.

With 25 years of experience in the medical billing industry, Petria’s expertise runs wide and deep. Throughout her career, she has helped hundreds of private practitioners and healthcare organizations solve their billing challenges and recover millions of dollars in lost revenues. To date, she has personally performed more than 500 audits and revenue recoveries nationwide.

Prior to founding PMB in 1995, Petria began her career with Kimberly Quality Care (KQC) in 1989. At the time, KQC was the nation’s largest home health care agency in the country, with more than 380 offices nationwide.

Pricing

HCA of MA members $25

Non-members $50

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Contact Information

Name: Cynthia Holloway
Phone: 6174828830
Email: cholloway@thinkhomecare.org
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