Medicare Boot Camp—Provider-Based Departments Version (RIS Post-conference)

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Medicare Boot Camp—Provider-Based Departments Version (RIS Post-conference)

Product Code: PBBC10182018


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

Total:
$1,149.00
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Save 20% when you register for BOTH the 2018 Revenue Integrity Symposium and this Post-Conference! Your discount will automatically calculate in your cart. Questions? Call Customer Service at 615-724-7200 to learn more.

Medicare Boot Camp—Provider-Based Departments Version (RIS Post-conference)

Course Overview

Reimbursement for provider-based departments (PBD) and clinics has been declining, with off-campus payment changes and significant encounter-based packaging initiatives by CMS. Hospitals need to understand both the outpatient prospective payment system as well as the new PBD site-specific physician fee schedule payment to effectively 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 changes to off-campus PBDs, understand the effects of the recent increased packaging of services for all PBDs, and know how to handle other recent changes, such as modifiers -PO and -PN and modifier JG. 

You will leave this program knowing how to: 

  • Ensure PBDs meet regulatory requirements 
  • Properly apply Modifiers -PO, -PN, -25, and -JG 
  • 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

Course Location & Dates

Revenue Integrity Symposium and Post-Conference Boot Camps will be held October 18-19 at:  

WHERE: The Wigwam Hotel 
300 East Wigwam Blvd. 
Litchfield Park, AZ 85340 

  • Room rate $203/night ($189/night + $7/night resort fee + $7/night resort gratuity) 
  • Hotel cut-off date is Friday, September 21, 2018 
  • Reservation Center: 1-800-327-0396 and referencing the Revenue Integrity Symposium 
  • Hotel website: wigwamarizona.com


To view our cancellation policy, click here.

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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

Continuing Education

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

Learning Objectives

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

  • Ensure PBDs meet regulatory requirements
  • Properly apply Modifiers -PO, -PN, -25, and -JG
  • 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

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.