Medicare Membership

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Medicare Membership

Product Code: MEDMEM

Call your National Account Manager to learn more.
See Overview tab below or dial 877-233-8734.

Medicare Membership:
THE KEY TO YOUR ORGANIZATION’S MEDICARE COMPLIANCE STRATEGY

Let our Medicare billing and reimbursement experts track the latest regulations for you. With monthly reports and calls, our regulatory specialists will keep your staff informed on the constantly evolving Medicare rules.

Your Medicare Membership gives you ongoing access to HCPro’s industry-leading Medicare experts who provide customized monitoring services to keep your organization on track, up to date, and compliant.

Medicare Membership includes the following:

  • Medicare Boot Camps® On-site
  • On-call access to your regulatory expert
  • HCPro Watchdog Service™
  • Revenue Cycle Advisor
  • Membership discount

 

Discounts

Subscribers receive a 20% discount on all revenue cycle retail products including books, handbooks, webcasts, and much more!

Click on each tab for more information about Medicare Membership.
Or you can contact your National Account Manager below...

Contacts

Please locate your National Account Manager below and contact them directly for more information about Medicare Membership.

Maureen Croce
National Accounts Manager
Midwest: AK, CA, HI, IL, IN, IA, KS, MN, MO, NE, ND, SD, WI, WY 
mcroce@hcpro.com | 978-624-4578

Mark LaPointe
National Accounts Manager
West: AZ, AR, CO, ID, KY, MT, NV, NM, OK, OR, TX, UT, WA
mlapointe@hcpro.com | 800-650-6787 ext 3718

Chris Farris
National Accounts Manager
Northeast: CT, MA, MD, ME, MI, NH, NJ, NY, OH, PA, RI, VT, WV
cfarris@hcpro.com | 978-223-1729

Al Occhipinti
National Accounts Manager
South: DE, FL, GA, LA, MS, NC, SC, TN, VA, AL, DC
aocchipinti@hcpro.com | 617-699-5779

Medicare Boot Camps® On-site

Your Medicare Membership includes an on-site Medicare Boot Camp. HCPro’s industry-leading instructors travel to your facility on your schedule for an intensive educational seminar.

Choose the Boot Camp most appropriate for your organization:

  • Medicare Boot Camp—Hospital Version unlocks all of the answers to your Medi¬care questions by teaching you the latest rules and their application. Staff will leave better prepared to manage revenue cycle and government audits and ready to make improvements that will strengthen reimbursement and compliance for your hospital.
  • Medicare Boot Camp—Critical Access Hospital Version is a one-of-a-kind class that will show you which rules apply to critical access hospitals (CAH) so you can successfully submit claims and get paid appropriately.

 

Both versions of the Boot Camp include comprehensive sections that explain the complexities of:

  • The 2-midnight benchmark and presumption 
  • ABN use and applicable billing rules 
  • Inpatient order and certification requirements 
  • Self-administered drugs 
  • Observation services and correct use of condition code 44 and W2 
  • Medically unlikely and other NCCI edits 
  • Coverage of therapeutic hospital services, including physician supervision 
  • Coverage of diagnostic services 
  • Other coverage topics such as clinical lab NCDs


We also provide annual updates. Bring HCPro experts back each year to update your staff about the latest Medicare reimbursement rules and regulations.

On-Call Expert

Do you have a question that only a regulatory expert can answer?

Our Medicare experts Kimberly A. Hoy Baker, JD, CPC, Debbie Mackaman, RHIA, CPCO, CCDS, and Judith L. Kares, JD, will answer your questions and help you understand new Medicare developments using citations from CMS and other regulatory agencies.

About our experts:

Kimberly Anderwood Hoy Baker, JD, CPC, is the director of Medicare and compliance for HCPro. She is a lead regulatory specialist for HCPro's Revenue Cycle Institute and is the lead instructor for HCPro's Medicare Boot Camp®—Hospital Version and Medicare Boot Camp®—Utilization Review Version. She is a former hospital compliance officer and in-house legal counsel, and has 10 years of experience teaching, speaking and writing about Medicare coverage, payment and coding regulations and requirements.

Debbie Mackaman, RHIA, CPCO, CCDS, is an instructor for HCPro’s Medicare Boot Camp®—Hospital Version and lead instructor for the Medicare Boot Camp®—Critical Access Hospital Version and Rural Health Clinic Version. She has over 24 years of experience in the healthcare industry, including inpatient and outpatient prospective payment systems; and coding, billing, and reimbursement issues for hospitals, critical access hospitals, and rural health clinics. She has served as compliance officer and director of health information services for healthcare systems.

Judith L. Kares, JD, is an expert in Medicare rules and regulations and is an instructor for HCPro's Medicare Boot Camp®—Hospital Version. She spent a number of years in private law practice, representing hospitals and other health care clients, and then as in-house legal counsel prior to beginning her current legal/consulting practice. She is also an adjunct faculty member at the University of Phoenix, where she teaches courses in business and health care law and ethics.

Watchdog Service™

HCPro Watchdog Service™ is a powerful solution that will keep you on top of a constantly evolving regulatory environment. An HCPro regulatory specialist will be devoted to tracking key Medicare developments and issues important to your revenue cycle team. Every month, your dedicated Medicare expert will provide you with insight and analysis specifically for the provider types within your organization.

Your custom regulatory update will be provided via:

  • Monthly custom email reports with the latest regulations based on your facility’s needs, which you can forward throughout your organization
  • Monthly conference calls with your regulatory expert to discuss recent regulations and their impact on your organization


We’ll tell you what you need to do to move forward today and how to look ahead to next month, next quarter, and next year. Our regulatory specialists cover a range of industries and provider types such as hospitals, physicians, SNFs, home health, hospice, DME, psychiatric and rehabilitation facilities, and more.

Revenue Cycle Advisor

Unlock the doors to the latest revenue cycle news, analysis, and education your organization needs with Revenue Cycle Advisor as your key. This comprehensive website combines all of HCPro's revenue cycle regulatory, compliance, and reimbursement resources, giving you a single trustworthy tool to help you navigate the ever-changing healthcare landscape.

Stop scanning through endless rules and trying to interpret complex regulations—our regulatory experts will analyze and break down the most pertinent information for your organization in a straightforward but thorough way. The easy-to-access portal also provides quarterly webcasts and the opportunity to network with peers. As an added perk, a daily email newsletter highlighting the latest revenue cycle news will be delivered right to your inbox.

Membership Features

Corporate

Medicare Insider,weekly e-newsletter

"Medicare Buzz,"members-only talk group

Quarterly webcast to discuss recent regulatory changes

MedicareFind™

Tools, webcasts, and white papers library

Medicare Billing Encyclopedia

Electronic version of monthly newsletter Briefings on APCs

Expanded content library from several of HCPro's most popular books

On-site Medicare Boot Camp

Medicare Watchdog Service™

Ask the Expert on-call hours

20% discount

More information coming soon.