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      Skilled Nursing Facility Billing Boot Camp in Las Vegas

      • Skilled Nursing Facility Billing Boot Camp Photo #1
      1 of 1
      September 26, 2019

      Thursday   8:30 AM - 4:30 PM (daily for 1 times)

      4520 Paradise Road
      Las Vegas, Nevada 89169

      • No Performers Listed
      Skilled Nursing Facility Billing Boot Camp

      Skilled Nursing Facility Billing Boot Camp



      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.

      Cost: 1099.00

      Categories: Conferences & Tradeshows

      This event repeats daily for 1 times:

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

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