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      Skilled Nursing Facility Billing Boot Camp in El Segundo

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      February 20, 2020

      Thursday   8:00 AM (daily for 2 times)

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      Skilled Nursing Facility Billing Boot Camp

      Skilled Nursing Facility Billing Boot Camp
      About this Event


      Course Overview

      HCPro's Skilled Nursing Facility Billing Boot Camp covers the latest Medicare billing rules and regulations so that you can help your facility bill appropriately for services and prevent payment denials.

      Skilled Nursing Facility Billing Boot Camp provides hands-on, how-to education focusing on billing for Medicare Part A and B, the ins and outs of PDPM, consolidated billing, and accurately completing the UB-04. Plus, guidance on understanding the SNF coverage criteria and a breakdown of the different beneficiary notices.

      Attendees will be able to return to their facility with the tools they need to understand the latest billing and reimbursement regulations, plus how to navigate the many billing processes to ensure their SNF is receiving appropriate reimbursement for services provided.

      Learning Objectives

      Locate key Medicare sources of authority so that you can find answers to your Medicare questions
      Identify the eligibility criteria for a SNF Part A admission
      List the technical criteria for a SNF Part A admission
      Determine best practices for SNF Part A admissions
      Understand the required coding for Part B therapy claims
      Understand how to resolve discrepancies between documentation and claims
      Accurately complete the UB-04
      Describe the scenarios for the appropriate use of beneficiary notices
      Identify potential items and services subject to consolidated billing
      Understand the political landscape and evolving payment reform
      Understand how payment is assigned under PDPM
      Understand the different types of medical reviewers and claims audits
      Learn how to conduct an efficient and effective triple check
      Course Outline/Agenda

      DAY 1

      Module 1: Intro to SNF Medicare

      Medicare A, B, C, and D

      Medicare administrative agencies

      Spell of illness/benefit periods

      SNF eligibility criteria

      Verification of benefits

      Module 2: Medicare Coverage

      Coverage basics

      Physician certification and recertification

      Documentation requirement basics

      Beneficiary notices

      Module 3: Part A Billing

      SNF PPS - Patient Driven Payment Model (DPDPM) overview

      The impact of quality on reimbursement (SNFQRP and SNFVBP)

      Completing the UB-04 for Part A

      The relationship between the claim and documentation

      Linking the MDS to reimbursement

      Module 4: Special Part A Billing Scenarios

      No pay claims

      Benefits exhaust claims

      LOA claims

      Medicare C agreements, preadmission screening, and billing

      Medicare as a secondary payor

      DAY 2

      Module 5: Part B Billing

      Completing the UB-04 for Part B

      Therapy caps

      Multiple Procedure Payment Reduction (MPPR)

      Applying modifiers

      Ancillary billing

      Module 6: Consolidated Billing

      Five major categories of consolidated billing

      Medicare allowable amounts

      Drug exclusions

      Tools and resources

      Module 7: Tying It All Together

      Admissions packet checklist

      PEPPER reports

      Medical review and appeals

      Compliance & ethics program

      Triple check

      *Please Note: Agenda is subject to change.


      Coming Soon!

      Cost: $1,099

      Categories: Conferences & Tradeshows

      This event repeats daily for 2 times:

      Event details may change at any time, always check with the event organizer when planning to attend this event or purchase tickets.