Medicare Boot Camp® - Hospital Version
Course Overview
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Gain insight into the CMS initiatives affecting your revenue in 2019 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 2019. 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.
Medicare Boot Camp—Hospital Version prepares you to better manage your revenue cycle and government audits by focusing on real guidance from CMS. You’ll leave class ready to make improvements that will strengthen reimbursement and compliance for your hospital or health system. And you’ll have the research tools and skills at your fingertips to answer your own Medicare questions long after the Boot Camp is over.
Comprehensive sections explain the complexities of:
The 2-midnight benchmark and presumption
Coverage under NCDs, LCDs, and CED
Inpatient order requirements
Inpatient-only procedures, including changes for 2019
Outpatient coverage and physician supervision
Observation coverage, billing, and payment
Correct use of condition codes 44 and W2
NCCI edits, including PTP edits and MUEs
Payment under the OPPS and IPPS
Patient deductible and copayment amounts
ABNs, HINNs and billing non-covered services
Medicare websites and resources
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You will leave this program knowing how to:
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
Who should attend?
Finance and reimbursement personnel
Case Managers
Chargemaster personnel
Billers and coders
Medical records/health information personnel
Clinical department personnel
Provider-based clinic personnel
Revenue managers
Compliance officers and auditors
Registration personnel
Medicare Advantage and MAC personnel
Healthcare lawyers, consultants, and CPAs
Legal department personnel
