Medicare Boot Camp®—Long-Term Care Version

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Medicare Boot Camp®—Long-Term Care Version

Product Code: MBCL

Topics covered during this intensive, four-day course include Medicare coverage, billing, coding and payment for long-term care services, including skilled nursing facility (SNF) services, and Medicare Part B services.

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Medicare Boot Camp®—Long-Term Care Version

Course Overview

HCPro's Medicare Boot Camp®—Long-Term Care Version covers the latest Medicare rules and regulations so that you can help your facility provide quality resident care, document successfully, bill appropriately for services, and prevent payment denials.

Medicare Boot Camp—Long-Term Care Version follows a Medicare patient from preadmission through discharge, addressing the function of each department, and uncovering the pitfalls along the way.

The Medicare Boot Camp—Long-Term Care Version offers the help you need to: 

  • Locate key Medicare sources of authority so that you can find answers to your Medicare questions
  • Identify facility challenges involving all parts of Medicare (A, B, C, D)
  • Address Medicare Advantage plan hurdles and methods to overcome payment obstacles
  • Enhance skilled documentation to meet medical necessity and level of care requirements
  • Determine proper PDPM reimbursement driven by the MDS
  • Complete MDS assessments accurately and timely
  • Appropriately apply consolidated billing principles
  • Optimize reimbursement under PDPM, the SNF Value Based Purchasing Program and the Quality Reporting Program
  • Evaluate and improve your ICD-10 coding practices and processes
  • Accurately prepare UB-04 claims and mitigate risks for claims audits
  • Compare the Medicare medical review entities, their review focus, and the levels of the appeals process
  • Implement processes to achieve compliance through Compliance and Ethics, as well as Quality Assurance and Performance Improvement programs

Benefits of HCPro's Medicare Boot Camp—Long-Term Care Version include:

  • A focus on the actual rules—Learn how to find and apply CMS rules and guidelines to ensure skilled nursing services furnished to Medicare beneficiaries are assessed and billed accurately and appropriately.
  • Hands-on learning—Participants complete a set of exercises at the end of each module to ensure they understand the concepts and know how to apply them to real-world situations.
  • Custom-designed course materials—Materials are developed by instructors and editors specifically for this intensive learning format. Each participant receives comprehensive course materials and convenient access to current Medicare statutes, regulations, and guidelines.
  • Small class size—Class size is limited to ensure individual attention.
  • Highly rated—Course participants consistently give the course an overall rating of 4.8 or higher (on a 5-point scale).

Medicare Boot Camp—Long-Term Care Version
is offered throughout the year and across the United States at various locations. Click “Locations/Dates" for more information.

Looking to train your whole team? We can bring our expert instructors to you! Learn more here!

Medicare Boot Camp®—Long-Term Care Version

Agenda/Course Outline


Module 1: Overview of the Medicare Program
Module 2: SNF Coverage and Documentation
Module 3: Beneficiary Notices Initiative
Module 4: The Resident Assessment Instrument and the Minimum Data Set 3.0


Module 5: PDPM, SNF PPS Payment, SNFVBP, and SNFQRP
Module 6: SNF Billing Under Part A
Module 7: SNF Consolidated Billing
Module 8: Part B Outpatient Therapy and Ancillary Billing


Module 9: ICD-10 Coding for SNFs
Module 10: Medicare Medical Review and Appeals Process: Medicare A, B, C
Module 11: Medicare Documentation
Module 12: QAPI and Medicare Compliance and Ethics

*Agenda/Outline is subject to change based on regulatory updates.

Medicare Boot Camp®—Long-Term Care Version

Learning Objectives


  • Identify key sources of authority for Medicare in a SNF
  • Describe the Medicare Part A coverage criteria requirements
  • Describe the political landscape and the evolution of healthcare reform
  • Explain how quality impacts payment through the SNF Quality Reporting Program, Value-Based Purchasing Program, and public reporting
  • Explain how the MDS 3.0 impacts resident care, survey outcomes, and payment
  • Identify the components of the UB-04 for the purposes of SNF billing
  • Demonstrate how to select appropriate ICD-10-CM diagnosis codes and the impact of coding on reimbursement
  • Compare the Medicare medical review entities, their review focus, and the levels of the appeals process
  • Demonstrate documentation techniques to support skilled services
  • Identify the components of an effective compliance and ethics plan
  • Discuss methods to enhance Medicare compliance

Medicare Boot Camp®—Long-Term Care Version

Continuing Education

This program has prior approval of the AAPC for 21 Continuing Education Units. Granting of this approval in no way constitutes endorsement by the AAPC of the program, content or the program sponsor.

American Health Information Management Association (AHIMA)
This program has been approved for 21 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. 

Nursing Home Administrators (NAB/NCERS)
This educational offering has been reviewed by the National Continuing Education Review Service (NCERS) of the National Association of Long Term Care Administrator Boards (NAB) and approved for 21 clock hours and 21 participant hours.

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 21 nursing contact hours is provided by HCPro. 

California Board of Registered Nursing
HCPro is approved by the California Board of Registered Nursing to provide 25.2 nursing contact hours. California BRN Provider #CEP 14494.

National Association of State Boards of Accountancy (NASBA)
Earn up to 25 CPE Credits!
Program Level: Intermediate
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:

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®—Long-Term Care Version


What is the focus of the Medicare Boot Camp®—Long-Term Care Version?
Medicare Boot Camp—Long-Term Care Version is a comprehensive, three-day course that covers all the latest Medicare regulations and rules to help you locate the answers to your most troublesome Medicare questions, enhance your skilled documentation to meet medical necessity and level of care requirements, determine the correct RUG-IV payment category driven by the MDS, seamlessly manage blending scheduled and unscheduled MDS assessments, and analyze your ICD-10 coding system implementation. It also follows a Medicare patient from preadmission through discharge, addressing the patient needs and the related function of each department as well as identifying the pitfalls along the way to ensure that your staff is providing quality resident care, performing accurate documentation, and properly billing for services. Participants of the boot camp not only receive a wealth of knowledge, but also guidance on how to implement effective processes and systems to mitigate the risks associated with survey concerns, improper payments, and audits.

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

Does HCPro offer this course on-site?
In addition to our open registration courses, we also offer the Medicare Boot Camp—Long-Term Care Version as an on-site course (with a substantial discount) for organizations that have a number of employees who need training. For more information on hosting an on-site course at your facility/offices, 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 should attend this course?

  • Reimbursement directors and staff members
  • Finance directors and staff members
  • Business office managers and staff members
  • Directors of nursing and nursing department staff members
  • SNF coding professionals
  • Therapy staff members
  • Administrators and owners
  • MDS coordinators
  • Quality assurance managers and staff members
  • Compliance officers and auditors
  • State surveyors
  • MAC personnel
  • Long-term care lawyers, consultants, and CPAs
  • Legal department personnel
  • Staff nurses
  • Nurse managers
  • Medical records professionals
  • EMR/EHR developers

What do I need to know prior to attending?
Please read further with our Get Ready for Class outline.

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 highly recommended (but not required) that participants have at least one year of experience working in a long-term care setting. Familiarity with the MDS and the ICD-9-CM, ICD-10-CM, and HCPCS coding systems is helpful, but not required.

How is the course taught?
The course is taught using a combination of lecture, class discussion, and hands-on exercises/case studies.

What do I need to bring to class?
When you arrive at class, you will receive an extensive notebook of course materials. These manuals will contain all the materials needed for the training. Please ensure room in your luggage for the return trip.

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 our sales team at 615-724-7200 or email