Skilled Nursing Facility Billing Boot Camp (blr) S, Hyatt Place Chicago/Hoffman Estates, Thursday, 20. June 2019

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 1Module 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 2Module 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 ( ) below for:- Multiple participant discounts- Price quotations or visa invitation letters- Payment by alternate channels (PayPal, check, Western Union, wire transfers etc)- Event sponsorshipsNO REFUNDS ALLOWED ON REGISTRATIONSService fees included in this listing.-----------------------------------------------------------------BUSINESS & LEGAL RESOURCES-BLR - New York Events Listhttp://

Skilled Nursing Facility Billing Boot Camp (blr) S

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