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introducing the All new — skilled nursing facility billing Boot camp |
*ALMOST SOLD OUT* 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 consolidated billing, 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. VIEW THE AGENDA Day 1 - Module 1 – Opening, Intro to Medicare in a SNF & Terminology
- Intro to Medicare in a SNF
- Intro to Medicare administrative agencies
- SNF Eligibility criteria
- Verification of benefits
- Module 2 – Medicare Coverage in a SNF
- Spell of illness/benefit periods
- Coverage basics
- PPS and RUGs
- ADLs and Depression indicators
- Physician certs and recerts
- Documentation requirement basics
- Beneficiary Notices
- Module 3 - Part A Billing & No Pay/Benefits Exhaust Claims
- Completing the Part A UB04
- Benefits Exhaust and No Pay claims
- Adjustment/Correction/Cancel claims
- Module 4 – Part B Billing
- Completing the Part B UB04
- Therapy caps
- Manual Medical Review of Part B
- Multiple Procedure Payment Reduction
- Other Part B billable items
Day 2 – Advanced Billing Issues - Module 5 –Triple Check Process and Medical Review
- Performing the triple check process
- Compliance and Billing
- Additional Development Requests
- RACs, MACs, and other auditors
- Module 6 – Consolidated Billing
- 5 major categories of consolidated billing
- How to determine if an item is included or excluded
- How to determine Medicare allowable amount
- Module 7 – Medicare Advantage and Medicare as Secondary Payer
- Module 8 – Tying it all Together
- Importance of the Admissions Process to Billing
- Q&A
Billers Association Members (BAM) save 10% off the registration fee. Call 800-650-6787 to receive your special discount rate today! |
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