Skilled Nursing Facility Billing Boot Camp

Course Overview

Skilled Nursing Facility Billing Boot Camp provides hands-on, how-to education focusing on billing for Medicare Part A and B, the ins and outs of consolidated billing, and accurately completing the UB-04, plus, guidance on understanding the SNF coverage criteria and a breakdown of the different beneficiary notices.

Attendees will be able to return to their facility with the tools they need to understand the latest billing and reimbursement regulations, including how to navigate the many billing processes to ensure their SNF is receiving appropriate reimbursement for services provided.

Billers Association Members (BAM) save 10% off the registration fee. Call 800-650-6787 to receive your special discount rate or sign up to become a Billers Association Member today!

To view all the benefits you recieve as a Billers Association Member, check out click here!

Skilled Nursing Facility Billing Boot Camp

Course Locations & Dates

Below is the current course schedule for Skilled Nursing Facility Billing Boot Camp. 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.

May 2018

August 2018

October 2018

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Skilled Nursing Facility Billing Boot Camp

Course Outline/Agenda

DAY 1
Module 1: Intro to SNF Medicare

• Spell of illness/benefit periods
• Medicare administrative agencies
• SNF eligibility criteria
• Verification of benefits

Module 2: Medicare Coverage

• Spell of illness/benefit periods
• Coverage basics
• PPS and RUGs
• ADLs and depression indicators
• Physician certification and recertification
• Documentation requirement basics
• Beneficiary notices

Module 3: Part A Billing

• Completing the UB-04 for Part A
• The relationship between the claim and documentation
• Beneficiary notices

Module 4: Special Part A Billing Scenarios

• No pay claims
• Benefits exhaust claims
• Medicare C
• Medicare as a secondary payor

DAY 2
Module 5: Part B Billing

• Completing the UB-04 for Part B
• Therapy caps
• Multiple Procedure Payment Reduction (MPPR)
• Ancillary billing

Module 6: Consolidated Billing

• 5 major categories of consolidated billing
• Medicare allowable amounts
• Provider agreement

Module 7: Triple Check and Medical Review

• Conducting the triple check meeting
• Compliance issues
• Additional Development Requests (ADRs)
• Medical review (audit) agencies

Module 8: Payment Reform

• RCS-1 overview
• Alternative payment models
• Accountable care organizations
• Volume- to value-based pay

*Please Note: Agenda is subject to change.

Skilled Nursing Facility Billing Boot Camp

Learning Objectives

• Locate key Medicare sources of authority so that you can find answers to your Medicare questions
• Identify the eligibility criteria for a SNF Part A admission
• List the technical criteria for a SNF Part A admission
• Determine facility best practices for SNF Part A admissions
• Understand the required coding for Part B therapy claims
• Calculate the expected payment for Part B therapy claims
• Understand how to resolve discrepancies between documentation and claims
• Accurately complete the UB-04
• Describe the appropriate use of beneficiary notices
• Identify potential items and services subject to consolidated billing
• Conduct a triple check meeting to mitigate audit risk
• Understand the political landscape and evolving payment reform
• Understand the changes between the RCS-1 and RUG classification systems

Skilled Nursing Facility Billing Boot Camp

Questions/Answers

What is the focus of the Skilled Nursing Facility Billing Boot Camp? 
HCPro's Skilled Nursing Facility Billing Boot Camp covers the latest Medicare billing rules and regulations so that you can help your facility bill appropriately for services and prevent payment denials. This two day course provides hands-on, how-to education focusing on billing for Medicare Part A and B, the ins and outs of consolidated billing, accurately completing the UB-04. Plus, guidance on understanding the SNF coverage criteria and a breakdown of the different beneficiary notices. 

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 Skilled Nursing Facility Billing Boot Camp 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? 

• Business office manager 
• Business office staff 
• Billers 
• Billing Director 
• Accounting Director 
• Accounting staff 
• CFO 
• Administrators/Owners/Executive Directors 
• Reimbursement Specialists 

What material does the course cover? 
To view the course outline, click on "Course Outline" above. 

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 customer service at 800-650-6787 or via email at customerservice@hcpro.com.