HCPro Medicare Boot Camps |
| See all of the upcoming 2018 Medicare classes below. |
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| Medicare Boot Camp—Hospital Version
Gain insight into the CMS initiatives affecting your revenue in 2018 by joining the nation’s leading Medicare experts for the Medicare Boot Camp®—Hospital Version.
From changes to the inpatient-only list to new guidance on charity care and pressure on drug payments, it’s the finest details of recent CMS updates that may cause compliance traps in 2018. Delve into the details of regulatory changes to understand the revenue implications and implement the new guidance. Medicare Boot Camp—Hospital Version unlocks all of the answers to your Medicare questions by teaching you the latest rules and their application.
You will leave this program knowing how to:
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Prevent inpatient denials -
Conduct compliant "self-audits" for Part B inpatient payment -
Properly use and bill for observation services -
Research and resolve claim edits that delay revenue -
Prevent outpatient denials and missed revenue -
Implement best practices to get the revenue you deserve while staying in compliance
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| Medicare Boot Camp—Utilization Review Version
Managing patient status plays a critical role in proper compliance, correct reimbursement, and stabilizing inpatient payments for the hospital. In 2018, CMS made significant changes to the inpatient-only list and continues to change its strategies for auditing patient status. Don’t become a target or leave money on the table—ensure the UR committee is ready to implement and leverage the regulatory requirements.
You will leave this program knowing: -
How to apply the 2-midnight benchmark and 2-midnight presumptions -
Implement changes to the inpatient-only list for 2018 -
The differences between post-discharge versus concurrent patient status reviews -
When self-denial is appropriate to take advantage of Part B payment for an inpatient case -
How NCDs, LCDs, and coverage with evidence development (CED) affect coverage of cases that meet the 2-midnight benchmark -
The observation coverage rules and how they interact with the 2-midnight benchmark -
When ABNs and HINNs should be used for stays that don’t meet medical necessity requirements
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| Medicare Boot Camp—Provider-Based Departments Version
Reimbursement for provider-based departments (PBD) and clinics has been declining, with off-campus payment changes and significant encounter-based packaging initiatives by CMS. Hospitals need to understand both the outpatient prospective payment system as well as the new PBD site-specific physician fee schedule payment to effectively assess the impact of these initiatives on PBDs and patients. With more hospitals moving services off-campus due to the value of hospital space or for patient convenience, reimbursement and compliance now become even more complex.
You will leave this program knowing how to:
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Ensure PBDs meet regulatory requirements -
Properly apply Modifiers -PO, -PN, -25, and -JG -
Apply supervision requirements to ensure compliant, covered hospital outpatient services -
Find and apply National and Local Coverage Determinations -
Research Medicare coverage, coding, and billing issues -
Accurately calculate reimbursement for on- and off-campus PBDs under both the OPPS and PBD site-specific MPFS rate -
Determine when ancillary services such as drugs and testing are paid separately
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Have a group to train? Bring one of these Boot Camps to your organization.
Bring our industry-leading instructors to your facility to teach one of our existing Boot Camps or a program customized specifically for your organization. |
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