Medicare Boot Camp® - Long-Term Care Version

Bookmark and Share

Medicare Boot Camp®—Long-Term Care Version

Product Code: MBCL

1st Attendee $1,399.00*
Additional Attendee(s)
Save $0.00$1,399.00 each

Add Items to Cart
*To register multiple attendees, please call
Customer Service at (800) 650-6787.

Medicare Boot Camp®—Long-Term Care Version

Course Overview

HCPro's Medicare Boot Camp®—Long-Term Care Version covers the latest Medicare rules and regulations so that you can help your facility provide quality resident care, document successfully, bill appropriately for services, and prevent payment denials.

Medicare Boot Camp—Long-Term Care Version follows a Medicare patient from preadmission through discharge, addressing the function of each department, and uncovering the pitfalls along the way.

The Medicare Boot Camp—Long-Term Care Version offers the help you need to:

  • Locate key Medicare sources of authority so that you can find answers to your Medicare questions
  • Identify facility challenges involving all parts of Medicare (A, B, C, D)
  • Enhance skilled documentation to meet medical necessity and level of care requirements
  • Determine the correct RUG-IV payment category driven by the MDS
  • Seamlessly manage blending scheduled and unscheduled MDS assessments
  • Evaluate and improve your ICD-10 coding practices and processes
  • Implement processes to achieve accurate documentation
  • Address Medicare Advantage plan hurdles and methods to overcome payment obstacles

Benefits of HCPro's Medicare Boot Camp—Long-Term Care Version include:

  • A focus on the actual rules—Learn how to find and apply CMS rules and guidelines to ensure skilled nursing services furnished to Medicare beneficiaries are assessed and billed accurately and appropriately.
  • Hands-on learning—Participants complete a set of exercises at the end of each module to ensure they understand the concepts and know how to apply them to real-world situations.
  • Custom-designed course materials—Materials are developed by instructors and editors specifically for this intensive learning format. Each participant receives comprehensive course materials and convenient access to current Medicare statutes, regulations, and guidelines.
  • Small class size—Class size is limited to ensure individual attention.
  • Highly rated—Course participants consistently give the course an overall rating of 4.8 or higher (on a 5-point scale).
  • Post-program support—Two weeks after the program, you'll have the opportunity to participate in a follow-up call with your instructor, in which you can ask additional questions about what you learned, address any implementation issues, or get help prioritizing your to-do list.

Medicare Boot Camp—Long-Term Care Version
is offered throughout the year and across the United States at various locations. Click “Locations/Dates" for more information.

Medicare Boot Camp®—Long-Term Care Version

Course Locations & Dates

Below is the current course schedule for upcoming Medicare Boot Camp®—Long-Term Care Versioncourses. We update this schedule on a regular basis. The instructors listed for each class are subject to change based on scheduling conflicts and other factors.

Registrations are processed in the order received. Class size is limited, and classes often sell out. We recommend against making travel arrangements until after we have confirmed your course registration. If space is available, it may still be possible to register for a particular class after the regular registration deadline listed below (please call our office to confirm space availability).

To register for a class, click the "Register" button. If you would like to register multiple attendees, click the "Register Multiple Attendees" button.

Locations marked as "Tentative" are subject to change.

To view our cancellation policy, click here. 

September 2018

Las Vegas, NV


September 17 - 19, 2018
8:00AM – 5:00PM each day

Hyatt Place Las Vegas
4520 Paradise Road
Las Vegas, NV 89169
Hotel website

Room Rate: $139/night
Room Rate Cut-Off: 8/27/18


November 2018

Orlando, FL


November 12 - 14, 2018
8:00AM – 5:00PM each day

Hyatt Place Orlando/Universal
5895 Caravan Court
Orlando, FL 32819
Hotel website

Room Rate: $119/night
Room Rate Cut-Off: 10/22/18



Medicare Boot Camp®—Long-Term Care Version

Agenda/Course Outline

Module 1: Overview of the Medicare Program & Healthcare Reform

  • Types and basics for Medicare programs: A, B, C, and D
  • Healthcare Reform Themes
    • Conditions of Participation (CoP)
    • New survey process
    • Quality and value-based care
    • Alternative payment models (ACOs, bundled payments, and etc.)
    • PDPM reimbursement model

Module 2: SNF Coverage and Documentation

  • Medicare technical requirements for admission to a SNF
  • Starting and ending a benefit period
  • "Skilling" basics
  • Identifying covered services and documenting to support the skilled service

Module 3: Beneficiary Notices Initiative

  • Types of notices: SNF ABN, ABN, NEMB
  • QIO and expedited review
  • Scenarios for ABN use

Module 4: The Resident Assessment Instrument and the Minimum Data Set 3.0

  • Critical review of the MDS 3.0
  • Concepts, constructs, and updates
  • Coding for accuracy and payment
  • Scheduling challenges posed by the OMRA assessments & PPS assessments

Module 5: SNF PPS Payment

  • Reimbursement based on RUG-IV case-mix and resident acuity
  • Linking payment to the MDS assessment, clinical qualifiers, ADLs, and ARD setting
  • Computing RUG rates and projecting revenue
  • Challenges of RUG-IV
    • Determining payment days with both prospective and retrospective assessments
  • Strategies for managing scheduled and unscheduled assessments

Module 6: SNF Billing Under Part A

  • Accurate UB-04 coding
  • Billing challenges related to retrospective assessments
  • Special claim scenarios: LOA, benefits exhaust, no-pay
  • Utilization of Medicare days

Module 7: SNF Consolidated Billing

  • Knowing what is and what is not the responsibility of the SNF under consolidated billing
  • Internal bill review processes

Module 8: Part B Outpatient Therapy and Ancillary Billing

  • Rules, regulations, and documentation requirements for Part B therapy
  • Completing the UB-04
  • Using codes and modifiers appropriately
  • Examining the facility requirements for each type of billable service
  • Documentation requirements

Module 9: Diagnosis Coding for SNFs

  • ICD-10-CM coding conventions and structure
  • Frequent LTC coding scenarios
  • Decision-making process regarding which codes to include on the UB-04
  • Connecting ICD coding to admission, skilled services, MDS, and billing

Module 10: Medicare Medical Review and Appeals Process: Medicare A, B, C

  • Types of medical review: MAC, CERT, RAC, ZPIC, SMERC
  • Triggers for medical reviews/audits
  • Tips to mitigate risk of improper payments
  • Appeals process levels and timelines

Module 11: Medicare Documentation

  • The basics
  • Therapy and nursing collaboration
  • Strategies to improve outcomes, support claim, and improve communication

Module 12: Medicare Compliance and Risk Management

  • Components of an effective compliance and ethics plan
  • Ensuring data accuracy
  • Internal auditing for compliance
  • Case study for triple-check review
  • Education and training
  • QAPI

*Agenda/Outline is subject to change based on regulatory updates.

Medicare Boot Camp®—Long-Term Care Version

Learning Objectives

  • Identify key sources of authority for Medicare in a SNF.
  • Describe the Medicare Part A coverage criteria requirements.
  • Describe the political landscape and healthcare reform themes.
  • Understand how PDPM differs from RUG classification system.
  • Explain how quality impacts payment through the SNF Quality Reporting Program, Value-Based Purchasing Program, and public reporting.
  • Describe the appropriate use of beneficiary notices.
  • Explain how the MDS 3.0 impacts resident care, survey outcomes and payment.
  • Demonstrate how to select appropriate primary and secondary diagnoses.
  • Identify the components of the UB-04 for the purposes of SNF billing.
  • Compare the Medicare medical review entities and their review focus.
  • Describe the levels of the appeals process.
  • Demonstrate documentation techniques to support skilled services.
  • Discuss methods to enhance Medicare compliance.


Medicare Boot Camp®—Long-Term Care Version

Continuing Education

American Health Information Management Association (AHIMA)
This program has been approved for 21 continuing education unit(s) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.

Nursing Home Administrators (NAB/NCERS)
This educational offering has been reviewed by the National Continuing Education Review Service (NCERS) of the National Association of Long Term Care Administrator Boards (NAB) and approved for 21 clock hours and 21 participant hours.

Disclosure Statement
HCPro has confirmed that none of the faculty/presenters, planners, or contributors have any relevant financial relationships to disclose related to the content of this educational activity.

Medicare Boot Camp®—Long-Term Care Version


What is the focus of the Medicare Boot Camp®—Long-Term Care Version?
Medicare Boot Camp—Long-Term Care Version is a comprehensive, three-day course that covers all the latest Medicare regulations and rules to help you locate the answers to your most troublesome Medicare questions, enhance your skilled documentation to meet medical necessity and level of care requirements, determine the correct RUG-IV payment category driven by the MDS, seamlessly manage blending scheduled and unscheduled MDS assessments, and analyze your ICD-10 coding system implementation. It also follows a Medicare patient from preadmission through discharge, addressing the patient needs and the related function of each department as well as identifying the pitfalls along the way to ensure that your staff is providing quality resident care, performing accurate documentation, and properly billing for services. Participants of the boot camp not only receive a wealth of knowledge, but also guidance on how to implement effective processes and systems to mitigate the risks associated with survey concerns, improper payments, and audits.

Where is the course offered?
Open registration courses are offered at various locations around the country, typically at mid-priced business hotels, such as the Hyatt Place or Hilton Garden Inn. For a current schedule of upcoming open registration courses, click on "Locations/Dates" above.

Does HCPro offer this course on-site?
In addition to our open registration courses, we also offer the Medicare Boot Camp—Long-Term Care Version as an on-site course (with a substantial discount) for organizations that have a number of employees who need training. For more information on hosting an on-site course at your facility/offices, click on Host an On-Site Course.

What if I need to cancel or transfer my registration?
Cancellation Policy

Please click here to view our cancellation policy.

Who should attend this course?
• Reimbursement directors and staff members
• Finance directors and staff members
• Business office managers and staff members
• Directors of nursing and nursing department staff members
• SNF coding professionals
• Therapy staff members
• Administrators and owners
• MDS coordinators
• Quality assurance managers and staff members
• Compliance officers and auditors
• State surveyors
• MAC personnel
• Long-term care lawyers, consultants, and CPAs
• Legal department personnel
• Staff nurses
• Nurse managers
• Medical records professionals
• EMR/EHR developers

What material does the course cover?
To view the course outline, click on "Course Outline" above.

Does the course require any previous experience or training?
No. The course starts with Medicare fundamentals and does not assume that participants have any particular background or experience. However, because of the fast-paced nature of the course, it is highly recommended (but not required) that participants have at least one year of experience working in a long-term care setting. Familiarity with the MDS and the ICD-9-CM, ICD-10-CM, and HCPCS coding systems is helpful, but not required.

How is the course taught?
The course is taught using a combination of lecture, class discussion, and hands-on exercises/case studies.

What do I need to bring to class?
When you arrive at class, you will receive an extensive notebook of course materials. These manuals will contain all the materials needed for the training. Please ensure room in your luggage for the return trip.

Does HCPro ever share contact information (e.g., name, address, phone number, email address, etc.) with other companies?
Historically, we have not shared contact information with anyone outside of our company. However, it is possible that at some point we might share contact information with other companies that offer products and services that we think would be of interest to our customers. If you would like us to keep your contact information confidential, please let us know so that we can flag your information in our customer database as "Do Not Share."

How do I get more information?
Contact customer service at 800-650-6787 or via email at

Need to train a group?

Bring our industry-leading instructors to your facility! Hosting a Boot Camp is a cost-effective and convenient solution for training your staff on the latest regulations. For more information, call 877-233-8734 or contact one of our account managers.