$1,099

Skilled Nursing Facility Billing Boot Camp (blr) S

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Homewood Suites by Hilton® Nearest Universal Orlando®

5893 American Way

Orlando, FL 32819

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No Refunds

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Description

Skilled Nursing Facility Billing Boot Camp


*** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! ***

REGISTER TODAY!


Course Overview

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 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, including 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 to find answers to 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 the evolution of payment reform

  • Understand the differences between the PDPM and RUG-IV classification systems, and how reimbursement rates are assigned under PDPM


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


Module 2: Medicare Coverage

Coverage basics
Physician certification and recertification
Documentation requirement basics
Beneficiary notices


Module 3: Part A Billing

Completing the UB-04 for Part A
The relationship between 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 payer


DAY 2
Module 5: Part B Billing

Completing the UB-04 for Part B
Therapy caps
Applying codes and modifiers appropriately
Ancillary billing


Module 6: Consolidated Billing

Five major categories of consolidated billing
Medicare allowable amounts
Tools and resources


Module 7: Triple Check and Medical Review

Conducting the triple check meeting
Compliance issues
Additional Development Requests (ADRs)
Medical review (audit) agencies


Module 8: Payment Reform

Patient-Driven Payment Model overview
Alternative payment models
Accountable care organizations
Volume- to value-based pay


*Please Note: Agenda is subject to change.


Please contact the event manager Marilyn (marilyn.b.turner@nyeventslist.com ) below for:
- Multiple participant discounts
- Price quotations or visa invitation letters
- Payment by alternate channels (PayPal, check, Western Union, wire transfers etc)
- Event sponsorships

NO REFUNDS ALLOWED ON REGISTRATIONS
Service fees included in this listing.
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Date and Time

Location

Homewood Suites by Hilton® Nearest Universal Orlando®

5893 American Way

Orlando, FL 32819

View Map

Refund Policy

No Refunds

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