Medicare Boot Camp® - Hospital Version

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Medicare Boot Camp®—Hospital Version

Product Code: MBCH


1st Attendee $1,699.00*
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Save $0.00$1,699.00 each

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$1,699.00
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To register multiple attendees, please call our sales team at 615-724-7200.

Medicare Boot Camp®—Hospital Version

Course Overview

Gain insight into the CMS initiatives affecting your revenue in 2021 by joining the nation’s leading Medicare experts for the Medicare Boot Camp®—Hospital Version.

From changes to the inpatient-only list to new guidance on charity care and pressure on drug payments, it’s the finest details of recent CMS updates that may cause compliance traps in 2021. Delve into the details of regulatory changes to understand the revenue implications and implement the new guidance. Medicare Boot Camp—Hospital Version unlocks all of the answers to your Medicare questions by teaching you the latest rules and their application.

Medicare Boot Camp—Hospital Version prepares you to better manage your revenue cycle and government audits by focusing on real guidance from CMS. You’ll leave class ready to make improvements that will strengthen reimbursement and compliance for your hospital or health system. And you’ll have the research tools and skills at your fingertips to answer your own Medicare questions long after the Boot Camp is over.

Comprehensive sections explain the complexities of:

  • The 2-midnight benchmark and presumption
  • Coverage under NCDs, LCDs, and CED
  • Inpatient order requirements
  • Inpatient-only procedures, including changes for 2021
  • Outpatient coverage and physician supervision
  • Observation coverage, billing, and payment
  • Correct use of condition codes 44 and W2
  • NCCI edits, including PTP edits and MUEs
  • Payment under the OPPS and IPPS
  • Patient deductible and copayment amounts
  • ABNs, HINNs and billing non-covered services
  • Medicare websites and resources


You will leave this program knowing how to:

  • Prevent inpatient denials
  • Conduct compliant "self-audits" for Part B inpatient payment
  • Properly use and bill for observation services
  • Research and resolve claim edits that delay revenue
  • Prevent outpatient denials and missed revenue
  • Implement best practices to get the revenue you deserve while staying in compliance


Who should attend?

  • Finance and reimbursement personnel
  • Case Managers
  • Chargemaster personnel
  • Billers and coders
  • Medical records/health information personnel
  • Clinical department personnel
  • Provider-based clinic personnel
  • Revenue managers
  • Compliance officers and auditors
  • Registration personnel
  • Medicare Advantage and MAC personnel
  • Healthcare lawyers, consultants, and CPAs
  • Legal department personnel

 

See the HCPro difference for yourself!

Focus on the Actual Rules: Learn how to find and apply CMS rules and guidelines to ensure hospital services furnished to Medicare beneficiaries are billed accurately and appropriately.

Tools and Skills to Navigate Medicare Rules: Our instructors provide valuable tools and resources that will help you prioritize and research Medicare questions long after the Boot Camp ends.

Case Studies: Case studies ensure attendees understand the concepts and know how to apply them to real-world situations.

Small Class Size: A low participant-to-teacher ratio is guaranteed.

Highly Rated, Well-Established Program: Participants consistently give the course an overall rating of 4.75 or higher (on a 5.0 scale). We currently conduct more than 30 Medicare Boot Camp courses each year.

Medicare Boot Camp®—Hospital Version

Course Locations & Dates

Below is the current course schedule for upcoming classes of Medicare Boot Camp—Hospital Version. We update this schedule on a regular basis.

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.

To register for a class, click the "Register" button. If you would like to register multiple attendees, fill in the "Additional Attendees" box or call our sales team at 615-724-7200 or email us at PD-IS@SimplifyCompliance.com.

Locations marked as "Tentative" are subject to change.

To view our cancellation policy, click here.  

February 2021


Philadelphia, PA

 

February 22 – 26, 2021
8:00 a.m. – 5:00 p.m. (Days 1–4)
8:00 a.m. – 1:00 p.m. (Day 5)

Courtyard Philadelphia Plymouth Meeting
651 Fountain Road
Plymouth Meeting, PA 19462
610-238-0695
Hotel website

 

May 2021


Woburn (Boston), MA

 

May 17 – 21, 2021
8:00 a.m. – 5:00 p.m. (Days 1–4)
8:00 a.m. – 1:00 p.m. (Day 5)

Courtyard by Marriott Woburn/Boston North
700 Unicorn Park Drive
Woburn, MA 01801
781-938-9001
Hotel website

 

July 2021


Pasadena, CA

 

July 19 – 23, 2021
8:00 a.m. – 5:00 p.m. (Days 1–4)
8:00 a.m. – 1:00 p.m. (Day 5)

Hyatt Place Pasadena
399 East Green Street
Pasadena, CA 91101
626-788-9108
Hotel website

 

September 2021


New Orleans, LA

 

September 20 – 24, 2021
8:00 a.m. – 5:00 p.m. (Days 1–4)
8:00 a.m. – 1:00 p.m. (Day 5)

SpringHill Suites New Orleans Downtown/Convention Center
301 Joseph Street
New Orleans, LA 70130
504-522-3100
Hotel website

 

October 2021


Des Plaines (Chicago), IL

 

October 18 – 22, 2021
8:00 a.m. – 5:00 p.m. (Days 1–4)
8:00 a.m. – 1:00 p.m. (Day 5)

Courtyard Chicago O’Hare
2950 S. River Road
Des Plaines, IL 60018
847-824-7000
Hotel website

 

December 2021


Las Vegas, NV

 

December 6 – 10, 2021
8:00 a.m. – 5:00 p.m. (Days 1–4)
8:00 a.m. – 1:00 p.m. (Day 5)

Hilton Garden Inn Las Vegas City Center
4655 Dean Martin Drive
Las Vegas, NV 89103
702-262-1031
Hotel website

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 Top

Medicare Boot Camp®—Hospital Version

Outline/Agenda

Module 1:  Medicare Overview and Contractors

  • Overview of Medicare Part A, B, C, and D
  • Medicare contractors, including the MAC, RAC and QIO

Module 2:  Medicare Research and Resources

  • Finding Medicare source laws, including statutes, regulations and final rules
  • Finding Medicare sub-regulatory guidance, including manuals and transmittals
  • Links to Medicare resources and resources for staying current

Module 3:  Medical Necessity and Limitation on Liability Notices

  • Medicare Coverage Center, including LCDs, NCDs, CED and Lab Coverage Manual
  • Prior authorization for specified outpatient procedures and services
  • Limitations of liability statute and notice requirements
  • The Advance Beneficiary Notice (ABN) form and instructions

Module 4:  Medicare Claims Submission Fundamentals

  • Claim fields with special instructions
  • Medicare Secondary Payer principles, including liability claims
  • Adjustment claims and automated reopenings
  • Medicare claims flow

Module 5:  Medicare Edit Systems

  • Outpatient Code Editor (OCE) and Medicare Code Editor (MCE)
  • National Correct Coding Initiative (NCCI)
  • Procedure to Procedure (PTP) edits and modifiers
  • Medically Unlikely Edits (MUE) and Add-on code edits

Module 6:  Medicare Billing Issues

  • Outpatient repetitive, non-repetitive, and recurring services
  • Three-day payment window; outpatient services billed on inpatient claims
  • Billing of non-covered outpatient services
  • Treatment of conditions arising during or from a non-covered stay

Module 7:  Medicare Outpatient Payment Systems

  • Outpatient Prospective Payment System (OPPS)
  • Addendum B and D to determine the payment status of a HCPCS code
  • Addendum A and Ambulatory Payment Classifications (APCs)
  • Comprehensive APC (C-APC) basic rules
  • Surgical C-APCs, including complexity adjustment
  • Payment under the OPPS, including outlier
  • Part B deductible and coinsurance

Module 8:  Outpatient Surgical Services, including Implantable Devices

  • Inpatient-only procedures
  • Multiple procedure discount for minor surgical services
  • Modifiers for terminated, discontinued and bilateral procedures
  • Device intensive procedures and procedure-to-device edits
  • Pass-through devices
  • Free and reduced-cost device reporting

Module 9:  Outpatient Visits and Provider Based Departments

  • Incident-to coverage of outpatient therapeutic services
  • Defining on- and off-campus departments, proper use of modifiers -PO and -PN
  • Coding for clinics, emergency departments, critical care and trauma activation
  • Proper use of modifier 25
  • Payment for off-campus department services
  • Therapy coding, including “sometimes” and “always” therapy codes
  • Payment for therapy under the Physician Fee Schedule, including therapy caps

Module 10:  Observation Services

  • Coverage of observation services
  • Delivery of the Medicare Outpatient Observation Notice (MOON)
  • Billing of observation services
  • Observation Comprehensive APC Payment

Module 11:  Outpatient Drugs

  • Coverage of drugs, including self-administered drugs
  • Packaged, pass-through and non-pass-through drugs and biologicals
  • Payment of 340B purchased drugs, including proper use of modifier JG and TB
  • Discarded Drugs
  • Biological skin substitutes

Module 12:  Outpatient Radiology and Laboratory Services

  • Coverage requirements for outpatient diagnostic services
  • Appropriate Use Criteria for Advanced Imaging Services
  • Imaging Family Composite APCs
  • Special Radiology Modifiers
  • Radiation Therapy
  • Laboratory billing and coding issues, including date of service
  • Payment for labs under the Laboratory Fee Schedule, including reference lab
  • Blood and blood products

Module 13:  Coverage of Hospital Inpatient Services

  • Inpatient order and certification requirements
  • Inpatient criteria and the 2-Midnight Benchmark
  • Admission on a case-by-case Basis
  • Documentation and use of screening tools

Module 14: Inpatient Utilization Review, Notices and Billing Issues

  • Important Message from Medicare (IMM) and Detailed Notice of Discharge
  • Hospital Issued Notices of Non-Coverage (HINN)
  • Utilization review determinations and short stay audits
  • Inpatient Part B billing and payment

Module 15:  Inpatient Payment and Patient Responsibility

  • Inpatient Part A payment and the Inpatient Prospective Payment System (IPPS)
  • Medicare-severity diagnosis related groups (MS-DRG)
  • Complications and co-morbidities and the effect of a hospital-acquired condition (HAC)
  • Inpatient deductible, coinsurance, and lifetime reserve days

Module 16:  Inpatient Prospective Payment System (IPPS) Adjustment Factors

  • Standardized amount adjustments: Hospital Quality Reporting Program and Electronic Health Record (EHR) Meaningful Use
  • Quality adjustments:  Value-Based Purchasing (VBP) Program, Hospital Readmissions Reduction Program (HRRP), and HAC Reduction Program
  • Payment add-on for New Technology
  • Medicare inpatient pricer
  • Payment for transfers and post-acute care transfers

 

Course agenda subject to change


Course Agenda/Outline is subject to change.

Medicare Boot Camp®—Hospital Version

Learning Objectives

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

  • Locate key sources of Medicare authority on the Internet
  • Interpret Medicare guidance and apply it to the services provided
  • Describe how Medicare covers inpatient and outpatient services at hospitals
  • Describe limitations on coverage under the Medicare program
  • Recognize the effect of coding rules on the services the provider reports
  • Explain how Medicare pays for inpatient and outpatient services
  • Explain Medicare deductibles and copayments for hospital inpatient and outpatient services
  • Employ inpatient and outpatient status rules and regulations

Medicare Boot Camp®—Hospital Version

Continuing Education

AAPC
This program has been approved by the AAPC for 34.5 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

American Health Information Management Association (AHIMA)
This program has been approved for 34 CE credits for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA).

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 34.5 nursing contact hours is provided by HCPro.

Association of Clinical Documentation Integrity Specialists (ACDIS)
This program has been approved for 34.5 continuing education units towards fulfilling the requirements of the Certified Clinical Documentation Specialist (CCDS) certification, offered as a service of the Association of Clinical Documentation Integrity Specialists (ACDIS).

California Board of Registered Nursing
HCPro is approved by the California Board of Registered Nursing to provide 41.4 nursing contact hours. California BRN Provider #CEP 14494.

Commission for Case Manager Certification (CCMC)
This program has been pre-approved by The Commission for Case Manager Certification to provide 34.5 hours of continuing education credit to CCM board certified case managers.

Compliance Certification Board (CCB)
The Compliance Certification Board (CCB) has approved this event for up to 41.4 CCB CEUs. Continuing Education Units are awarded based on individual attendance records. Granting of prior approval in no way constitutes endorsement by CCB of this program content or of the program sponsor.

National Association of Healthcare Revenue Integrity (NAHRI)
This program has been approved for 34.5 continuing education units towards fulfilling the requirements of the Certification in Healthcare Revenue Integrity (CHRI), offered as a service of the National Association of Healthcare Revenue Integrity (NAHRI).

National Association of State Boards of Accountancy (NASBA)
Earn up to 41 CPE Credits!
Program Level: Basic
Delivery Method: Group-Live
Field of Study: Specialized Knowledge

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: www.learningmarket.org.

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®—Hospital Version

Questions/Answers

What is the focus of the Medicare Boot Camp?
Medicare Boot Camp—Hospital Version is an intensive, five-day course on Medicare coverage, billing, coding, and payment for hospital outpatient and inpatient services. The course is technically oriented and focuses on the Medicare regulations and guidelines applicable to hospital services. The objective of the course is to provide participants with a detailed understanding of the Medicare "rules," placing a particular emphasis on the operational application of those rules.

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

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 recommended (but not required) that participants have at least one year of experience working in a hospital. Familiarity with the ICD-10-CM and CPT coding systems is helpful, but not required.

How is the course taught?
The course is taught using a combination of lecture, class discussion, and case studies.

What do I need to bring to class?
When you arrive at class, you will receive an extensive notebook of course materials. In addition, you may wish to bring a highlighter, notebook for taking notes, and sticky notes/flags.

Does this course prepare participants for coding certification?
Medicare Boot Camp—Hospital Version contains a review of pertinent coding issues as they relate to Medicare coverage, billing, and payment; however, it is not primarily designed as a coding course. HCPro does offer two courses focused on coding fundamentals: The Certified Coder Boot Camp®—Original Version focuses on coding for physician and hospital outpatient services, while the Certified Coder Boot Camp®—Inpatient Version focuses on hospital inpatient facility services. These courses may assist participants in preparation for national coding certification. For more information, please review the information for these courses using the links above, or contact customer service at customerservice@hcpro.com or 800-650-6787.

Does HCPro offer "on-site" Medicare Boot Camps?
In addition to our open registration courses, we also offer the Medicare Boot Camp—Hospital Version as an on-site program (with a substantial discount) for organizations that have a number of employees who need training. For more information on hosting an on-site Boot Camp, 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 typically attends the Medicare Boot Camp?

  • Finance and reimbursement personnel
    • Case Managers
    • Chargemaster personnel
    • Billers and coders
    • Medical records/health information personnel
    • Clinical department personnel
    • Provider-based clinic personnel
    • Revenue managers
    • Compliance officers and auditors
    • Registration personnel
    • Medicare Advantage and MAC personnel
    • Healthcare lawyers, consultants, and CPAs
    • Legal department personnel

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.