Medicare Boot Camp—Provider-Based Departments Version

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Medicare Boot Camp—Provider-Based Departments Version

Product Code: PBBC


1st Attendee $1,149.00*
Additional Attendee(s)
Save $0.00$1,149.00 each

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$1,149.00
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*To register multiple attendees, please call Customer Service at (800) 650-6787.

Medicare Boot Camp—Provider-Based Departments Version

Course Overview

A new congressional mandate combined with other significant encounter-based packaging initiatives by CMS mean big changes in the reimbursement for provider-based departments (PBD), both on- and off-campus. Hospitals have to understand both the outpatient prospective payment system as well as the new PBD site-specific physician fee schedule payment to effectively operate these departments and assess the impact of these initiatives on PBDs and patients. With more hospitals moving services off-campus due to the value of hospital space or for patient convenience, reimbursement and compliance now become even more complex. 

The Medicare Boot Camp—Provider-Based Departments Version provides education on attestations, on- and off-campus determinations, enrollment, billing, and reimbursement. This Boot Camp will provide brand new insight for understanding hospital outpatient department billing and reimbursement in an ever-changing regulatory landscape. 

This boot camp will break down billing, coding, compliance, coverage, qualification, and other issues. It will help attendees gauge the financial impact of the Bipartisan Budget Act of 2015 (Section 603) on off-campus PBDs, understand the effects of the recent increased packaging of services, and know how to handle other recent changes, such as now-mandatory use of modifiers -PO and -PN. 

You will leave this program knowing how to: 

  • Ensure PBDs meet regulatory requirements 
  • Properly apply Modifiers -PO, -PN, and -25 
  • Apply supervision requirements to ensure compliant, covered hospital outpatient services 
  • Find and apply National and Local Coverage Determinations 
  • Research Medicare coverage, coding, and billing issues 
  • Accurately calculate reimbursement for on- and off-campus PBDs under both the OPPS and PBD site-specific MPFS rate 
  • Determine when ancillary services such as drugs and testing are paid separately 


Who should attend? 

  • Compliance directors, managers, and staff 
  • Finance staff 
  • Billers 
  • Auditors 
  • CFOs, finance directors 
  • Revenue cycle directors and professionals 
  • Revenue integrity professionals 
  • HIM directors and managers 
  • Coders 
  • Physician practice administrators 


See the HCPro difference for yourself! 

Focus on the actual rules: Learn how to find and apply CMS rules and guidelines to ensure provider-based department 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 questions long after the Boot Camp ends. 

Hands-on learning: Attendees work a set of exercises/case studies after each module to ensure they 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. 

For more detailed information about HCPro's Boot Camps, contact customer service at 800-650-6787 or email customerservice@hcpro.com.

Medicare Boot Camp—Provider-Based Departments Version

Course Locations & Dates

Below is the current course schedule for Medicare Boot Camp—Provider-Based Departments 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 (large groups), call 800-650-6787 for assistance.

Locations marked as "Tentative" are subject to change.

To view our cancellation policy, click here.  

October 2017 (Post-Conference for Revenue Integrity Symposium)

Nashville, TN

 

October 25-26, 2017


Franklin Marriott Cool Springs
700 Cool Springs Blvd. 
Franklin, TN 37067 (Nashville) 

Marriott reservations at 1 (800) 228-9290 or (615) 261-6100

Hotel website

Room Rate: $189/night
Room Rate Cut-Off: October 2, 2017

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Medicare Boot Camp—Provider-Based Departments Version

Course Outline/Agenda

  • Module 1: Medicare Overview and Resources 
  • Module 2: On- and Off-Campus Provider-Based Department Requirements 
  • Module 3: Coverage of Hospital Outpatient Services 
  • Module 4: Medical Necessity, Coverage Determinations, and ABNs 
  • Module 5: Medicare Edit Systems and Claims Issues 
  • Module 6: Payment for Provider-Based Departments 
  • Module 7: Special Coding and Payment Issues: Part 1 – Procedures, Visits and Therapy 
  • Module 8: Special Coding and Payment Issues: Part 2 – Drugs and Diagnostics


Course Outline/Agenda subject to change

Medicare Boot Camp—Provider-Based Departments Version

Learning Objectives

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

  • Ensure PBDs meet regulatory requirements 
  • Properly apply Modifiers -PO, -PN, and -25 
  • Apply supervision requirements to ensure compliant, covered hospital outpatient services 
  • Find and apply National and Local Coverage Determinations 
  • Research Medicare coverage, coding, and billing issues 
  • Accurately calculate reimbursement for on- and off-campus PBDs under both the OPPS and PBD site-specific MPFS rate 
  • Determine when ancillary services such as drugs and testing are paid separately 

Medicare Boot Camp—Provider-Based Departments Version

Continuing Education Credit Information

Other continuing education credits will be available for this program. Please check back soon for more information. 

AAPC
This program has been approved by the AAPC for 15 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

American College of Medical Practice Executives (ACMPE) 
HCPro is not accredited through MGMA and cannot offer pre-approved ACMPE CE’s. Students seeking ACMPE credits may individually apply for continuing education credit for the program as the content relates to one or more of the six management domains in The Body of Knowledge for Medical Practice Management.

American Health Information Management Association (AHIMA)
This program has been approved for 15 continuing education unit(s) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its 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 15 nursing contact hours is provided by HCPro.

Compliance Certification Board (CCB)
The Compliance Certification Board (CCB) has approved this event for up to 18 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 State Boards of Accountancy (NASBA) 
Earn up to 18 CPE Credits! 
Program Level: Basic 
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 addressed to the National Registry of CPE Sponsors, 150 Fourth Avenue North, Suite 700, Nashville, TN, 37219-2417. Web site: www.nasba.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—Provider-Based Departments Version

Questions/Answers

What is the focus of the Medicare Boot Camp—Provider-Based Departments Version? 
Medicare Boot Camp—Provider Based Departments Version is an intensive, three-day course on Medicare coverage, billing, coding, and payment for provider-based department services. The course is technically oriented and focuses on the Medicare regulations and guidelines applicable to hospital services in provider-based departments. 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 sessions of the Medicare Boot Camp—Provider-Based Departments Version 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 courses, click on "Locations/Dates" above. 

Does HCPro offer an "on-site" version of this Boot Camp? 
In addition to our open registration courses, we also offer this boot camp 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—Provider-Based Departments Version? 
• Compliance directors, managers, and staff 
• Finance staff 
• Billers 
• Auditors 
• CFOs, finance directors 
• Revenue cycle directors and professionals 
• Revenue integrity professionals 
• HIM directors and managers 
• Coders 
• Physician practice administrators 

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. 

How is the course taught? 
The course is taught using a combination of lecture, class discussion, and hands-on exercise/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, please bring the following to all classes: 
• A highlighter 
• A notebook for taking notes 
• Sticky notes/flags 
• A pen/pencil 
• Calculator 

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 email customerservice@hcpro.com