Medicare Boot Camp® - Long-Term Care Version

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Medicare Boot Camp®—Long-Term Care Version

Product Code: MBCL

1st Attendee $1,399.00*
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*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. 

March 2018

Nashville (Brentwood), TN

March 12 - 14, 2018

8:30AM – 5:00PM each day

HYATT PLACE Nashville/ Brentwood
202 Summit View Drive
Brentwood, TN 37027
615-661- 9477
615-661- 9936
Hotel website

Room Rate: $142
Room Rate Cut-Off: February 23, 2018


Medicare Boot Camp®—Long-Term Care Version

2017 Course Outline/Agenda - 2018 Agenda coming soon!


Module 1: Overview of the Medicare Program/Research

  • Types and basics for Medicare programs: A, B, C, D, and ACOs
    • Medicare Part A
    • Medicare Part B
    • Medicare Part C (or Medicare Advantage) plans: Including coverage requirements, pre-authorization processes, and coverage regulations
    • Medicare Part D (or drug plans)
    • ACO impact
  • Eligibility requirements
  • Medicare regulation research using key sources of authority

Module 2: SNF Coverage and Documentation

  • Technical Medicare 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, expedited review
  • When and how to issue an ABN


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

  • Critical review of the MDS 3.0
  • Concepts and constructs
  • Coding for accuracy, coding for payment
  • Problematic assessment and communication areas
  • Linkage between interviews, culture change, and repeat business in the SNF
  • Scheduling challenges posed by the OMRA assessments (COT, EOT, SOT)

Module 5: SNF PPS Payment

  • Reimbursement based on RUG-IV acuity
  • Linking payment items to the MDS assessment, clinical qualifiers, ADLs, and ARD setting
  • Computing RUG rates
  • Challenges of RUG-IV
    • Determining payment days with both prospective and retrospective assessments
    • Revenue projection challenges
  • Strategies to work with scheduled and unscheduled assessments


Module 6: SNF Billing
Under Part A

  • Accurate UB-04 coding
  • Billing challenges related to retrospective assessments
  • Specialty claims: 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
  • Building your internal bill review processes

Module 8: Part B Outpatient Therapy and Ancillary Billing

  • Rules, regulations, documentation requirements for Part B therapy
  • Completing the UB-04
  • Adhering to the NCCI edits (modifier -59, etc.)
  • Using modifiers appropriately
  • Examining the facility requirements for each type of billable service
  • Facility billing options
  • 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

  • Preparing for external reviews: MAC, CERT, RAC, ZPIC, SMERC
  • Trigger points that may flag an audit or review
  • Tips to reduce audit likelihood
  • Levels of appeal
  • Timing

Module 11: Medicare Documentation

  • The basics
  • Documentation—the glue that binds:
    • Supports skilled services
    • Links MDS to payment through the billing process
    • Supports optimal care delivered to outcomes
  • Documentation strategies to improve care outcomes, support claim, and improve communication

Module 12: Medicare Compliance and Risk Management

  • Components of a compliance plan
  • Ensuring data accuracy
  • How to audit for compliance
  • Case study for triple-check review
  • Education and training

*Agenda is subject to change based on regulatory updates.

Medicare Boot Camp®—Long-Term Care Version

Learning Objectives

After attending this Boot Camp, participants will be able to:

  • Identify key sources of authority for Medicare in a SNF
  • Describe the Medicare Part A coverage criteria requirements
  • Restate the categories of Part A skilled services in the SNF
  • Describe the appropriate use of beneficiary notices
  • Identify the MDS 3.0 clinical qualifiers for SNF PPS
  • Identify the components of the UB-04 for the purposes of SNF billing
  • Identify a minimum of three services excluded from consolidated billing
  • Compare four Medicare review entities and their review focus
  • Describe the five 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

2017 Continuing Education - 2018 CE Credit coming soon!

This program has been approved by the AAPC for 28 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

American Nurses Credentialing Center (ANCC)
HCPro is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

This educational activity for 28 nursing contact hours is provided by HCPro.

California Board of Registered Nursing

HCPro is approved by the California Board of Registered Nursing to provide 33.6 nursing contact hours. California BRN Provider #CEP 14494.

National Association of Boards of Examiners of Long Term Care Administrators (NAB)     

This education offering has been reviewed by the National Continuing Education Review Service (NCERS) of the National Association of Boards of Examiners for Nursing Home Administrators (NAB) and approved for 28 clock hours and 28 participant hours.

National Association of State Boards of Accountancy (NASBA)  
Earn up to 33.5 CPE Credits!
Program Level: Intermediate
Delivery Method: Group-Live

HCPro is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website:

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

2017 Questions/Answers - 2018 FAQs coming soon!

What is the focus of the Medicare Boot Camp®—Long-Term Care Version?
Medicare Boot Camp—Long-Term Care Version is a comprehensive, four-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.

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
• 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

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.