Master Consolidated Billing: Limit Your SNF's Financial Responsibility (Audio Conference)

AUDIO CONFERENCE ON CD OR AUDIO ON-DEMAND

Sponsored by A Practical Guide to Consolidated Billing, Second Edition

presented on November 4, 2008

Learn what services you should and shouldn’t be paying for

Consolidated billing continues to be a challenge for nursing homes. Skilled nursing facilities (SNFs) need to ask the right questions prior to delivery of services to know which services are included and which are excluded. Our expert speaker, Ron Orth, RN, NHA, RAC-CT, is here to help you.

A proactive approach to consolidated billing

Get the strategies you need to receive optimal reimbursement during the 90-minute audio conference, Master Consolidated Billing: Limit Your SNF's Financial Liability.  Our expert teaches you how to scrutinize your invoices to know what services you should be paying for. Reduce denials and get the results you want using the proactive measures provided during this audio conference.

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

• Define consolidated billing and understand who it applies to
• Analyze the five major categories and how they play a part in consolidated billing
• Recognize what is considered medically necessary for ambulance services and who’s responsible for the bill
• Determine how to avoid bills for services thought to be excluded from consolidated billing
• Implement best practices for invoice review

TAKE A LOOK AT OUR AGENDA

1. Consolidated billing and SNF “residents” for consolidated billing purposes
2. Five major categories
   1. Exclusion of services beyond the scope of a SNF
   2. Additional services excluded when rendered to end-stage renal disease (ESRD) beneficiaries
   3. Additional excluded services rendered by certified providers
   4. Additional excluded preventive and screening services
   5. Therapy services included in SNF consolidated billing
3. Ambulance services
   1. What is considered medically necessary for ambulance services
   2. When the SNF is responsible for the bill
   3. When the resident must pay for the services
   4. When the ambulance company can bill Medicare directly
4. Proactive measures
   1. How to avoid large, unexpected bills for services you thought were excluded from consolidated billing
   2. Services provided “under arrangement”
5. Invoice review best practices
   1. What to do when you receive a bill from an outside vendor
   2. Determining how much you should pay for such bills
   3. The Medicare Physician Fee Schedule and other Medicare fee schedules
   4. Examples of bills you should not pay in their entirety
6. CMS Web site tools
   1. The SNF consolidated billing file
   2. The HCPCS code file
   3. Other Web resources
7. Q & A follows the presentation

BONUS TOOLS INCLUDED IN YOUR MATERIAL PACKET!

In addition to the expertise and advice presented during this audio conference, you'll also receive these helpful “take-aways” provided within your materials packet:

• Quick reference guide
• Tools from CMS Web site

These materials are provided with PDF links.

MEET THE SPEAKER

Ronald A. Orth, RN, NHA, CPC, RAC-CT, is a registered nurse with more than 25 years experience in the healthcare field—12 of those years in the long-term care industry.  He serves as the lead instructor for HCPro's Medicare Boot Camp® - Long Term Care Version course. Orth is also president of Clinical Reimbursement Solutions, LLC, a Wisconsin-based consulting firm, where he assists long-term care facilities by providing consulting and educational services related to long-term care Medicare regulations, billing, and compliance.

WHO SHOULD LISTEN?

Billing office managers, CFOs, billers, administrators, nurse managers, DONs, social service staff, admission coordinators, MDS nurses

AUDIO ON-DEMAND

In addition to the regular purchase options for HCPro audio conferences, we are pleased to offer another option, an audio on-demand. Audio on-demand allows you to download the program and play it back at your convenience through your computer or MP3 player. Purchase a CD or an audio on-demand of the program and listen when you can. It's also a perfect training tool for new staff or a refresher for veteran staff.

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