Medicare Compliance and the UB-04: Reduce Your Facility’s Audit Risk - On-Demand

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Medicare Compliance and the UB-04: Reduce Your Facility’s Audit Risk - On-Demand

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Medicare Compliance and the UB-04: Reduce Your Facility’s Audit Risk - On-Demand

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Available ON-DEMAND

Presented on:
Tuesday, October 06, 2015

Presented by:
Janet Potter, CPA, MAS, FR&R Healthcare Consulting, Inc.

Sponsored by:
Billers' Association for Long-Term Care

Reduce your audit risk and the potential for nonpayment by ensuring your facility’s claims are complete and accurate. Administrators need to identify risk areas and analyze providers' information so that billers can review their own data before submission and ensure compliance.

During this 90-minute webcast, our expert speaker Janet Potter, CPA, MAS, manager in the healthcare research team atFR&R Healthcare Consulting, Inc., will explain the different elements in the UB-04 process, provide guidance on identifying risk areas, and discuss strategies for a triple-check process targeting Medicare claims. Administrators will learn how to efficiently review their billers by understanding the complete UB-04 process; billers will learn what the data on a claim form means, how to analyze it, and how to effectively review their own claims.

At the conclusion of this program, participants will be able to do the following:

  1. Examine individual elements of the UB-04 in order to determine compliance with Medicare regulations
  2. Perform a triple-check on their UB-04 creation and billing process
  3. Incorporate findings from the UB-04 review into their facility’s compliance program

Who should listen?

  • Administrators
  • Business office managers
  • Office managers
  • Billing staff
  • Billers
  • Coders


  • Elements of the UB-04
    • Medicare days, coinsurance days, and ancillary charges
  • Risk areas
    • Proper tracking methods, RUGs, Medicare information, and process verification
  • Step-by-step application process
  • Triple-check process
    • Conducting a triple-check on each claim
  • Case studies
    • Problem areas in the UB-04 and RUG codes
  • Q&A (not live)

Meet the Speaker

Janet Potter, CPA, MAS, is a manager in the healthcare research team at FR&R Healthcare Consulting, Inc., where she delves into numerous aspects of the healthcare industry including HIPAA, the Medicare Prescription Drug Program (Part D), and research into ongoing regulations and various healthcare topics pertaining to Medicare and Illinois Medicaid. She is instrumental in writing and preparing client bulletins, speaker presentations, and seminar materials, as well as monitoring industry websites for regulatory and compliance changes, informing clients and colleagues of the changes, and assisting in interpretation of new regulations and guidance. Potter is a member of the Advisory Board for HCPro's Billers' Association for Long-Term Care and is a frequent contributor to PPS Alert for Long-Term Care and other HCPro publications.

Webinar system requirements and program materials:
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:

Browser: Microsoft Internet Explorer 6 or later, Firefox, Chrome, or Safari, with JavaScript enabled
Internet: 56K or faster Internet connection (high-speed connection recommended) 
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices

Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location.

No problem. The On-Demand version is also available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $199 value! 

Participation in this webinar is just $199 per site. All materials must be retrieved from the Internet. 

Call your customer service representative toll-free 800-650-6787 or email if you have questions.