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Course Overview
Gain insight into the CMS initiatives affecting your revenue in 2019 by joining the nation’s leading Medicare experts for the Medicare Boot Camp®—Hospital Version.
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About The Event

 Medicare Boot Camp® - Hospital Version

Course Overview

Gain insight into the CMS initiatives affecting your revenue in 2019 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 2019. 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 2019

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.

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.


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

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