Medicare Boot Camp—Provider-Based Departments Version (blr) S, Renaissance Orlando at SeaWorld®, Thursday, 17. October 2019

Medicare Boot Camp—Provider-Based Departments Version

*** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! ***REGISTER TODAY!
Course Overview
Reimbursement for provider-based departments (PBD) and clinics has been declining, with off-campus payment changes and significant encounter-based packaging initiatives by CMS. Hospitals need to understand both the outpatient prospective payment system as well as the new PBD site-specific physician fee schedule payment to effectively assess the impact of these initiatives on PBDs and patients. With more hospitals moving services off-campus due to the value of hospital space or for patient convenience, reimbursement and compliance now become even more complex.
The Medicare Boot Camp—Provider-Based Departments Version provides education on attestations, on- and off-campus determinations, enrollment, billing, and reimbursement. This Boot Camp will provide brand new insight for understanding hospital outpatient department billing and reimbursement in an ever-changing regulatory landscape.
This boot camp will break down billing, coding, compliance, coverage, qualification, and other issues. It will help attendees gauge the financial impact of changes to off-campus PBDs, understand the effects of the recent increased packaging of services for all PBDs, and know how to handle other recent changes, such as modifiers -PO and -PN and modifier JG.

You will leave this program knowing how to:


Ensure PBDs meet regulatory requirements


Properly apply Modifiers -PO, -PN, -25, and -JG


Apply supervision requirements to ensure compliant, covered hospital outpatient services


Find and apply National and Local Coverage Determinations 


Research Medicare coverage, coding, and billing issues 


Accurately calculate reimbursement for on- and off-campus PBDs under both the OPPS and PBD site-specific MPFS rate


Determine when ancillary services such as drugs and testing are paid separately



Who should attend?


Compliance directors, managers, and staff 


Finance staff 


Billers 


Auditors 


CFOs, finance directors 


Revenue cycle directors and professionals 


Revenue integrity professionals 


HIM directors and managers 


Coders 


Physician practice administrators


See the HCPro difference for yourself!


Focus on the actual rules: Learn how to find and apply CMS rules and guidelines to ensure provider-based department services furnished to Medicare beneficiaries are billed accurately and appropriately.


Tools and skills to navigate Medicare rules: Our instructors provide valuable tools and resources that will help you prioritize and research questions long after the Boot Camp ends.


Hands-on learning: Attendees work a set of exercises/case studies after each module to ensure they understand the concepts and know how to apply them to real-world situations.


Small class size: A low participant-to-teacher ratio is guaranteed.


Highly rated, well-established program: Participants consistently give the course an overall rating of 4.75 or higher (on a 5.0 scale). We currently conduct more than 30 Medicare Boot Camp courses each year.


Learning Objectives
At the conclusion of this educational activity, participants will be able to:


Ensure PBDs meet regulatory requirements


Properly apply Modifiers -PO, -PN, -25, and -JG


Apply supervision requirements to ensure compliant, covered hospital outpatient services


Find and apply National and Local Coverage Determinations 


Research Medicare coverage, coding, and billing issues 


Accurately calculate reimbursement for on- and off-campus PBDs under both the OPPS and PBD site-specific MPFS rate


Determine when ancillary services such as drugs and testing are paid separately


Course Outline/Agenda
Module 1: Medicare Overview and Resources Module 2: On- and Off-Campus Provider-Based Department Requirements Module 3: Coverage of Hospital Outpatient Services Module 4: Medical Necessity, Coverage Determinations, and ABNs Module 5: Medicare Edit Systems and Claims Issues Module 6: Payment for Provider-Based Departments Module 7: Special Coding and Payment Issues: Part 1 – Procedures, Visits and Therapy Module 8: Special Coding and Payment Issues: Part 2 – Drugs and Diagnostics
Course Outline/Agenda 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://

Medicare Boot Camp—Provider-Based Departments Version (blr) S

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