Skilled Nursing Facility Billing Boot Camp in El Segundo

Skilled Nursing Facility Billing Boot Camp About this Event *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! 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. Speaker Coming Soon!