DON’T NAVIGATE MEDICARE - HCPropromos.hcpro.com/pdf/MT314641_MBC_Q2_Brochure.pdf · Including Observation Module 6: Payment for Inpatient Admissions, Including Patient Responsibility

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Medicare Boot Camp®

Hospital Version


Utilization Review Version


Critical Access Hospital Version

25192_MT314641_MBC_Q2_Brochure.indd 1 4/22/14 12:50 PM

2REGISTER FOR 2014 CLASSES TODAY!

Visit www.hcprobootcamps.com or call 800-650-6787. For faster service when registering, please use the source code located above your address on mailing panel.


Hospital Version

Bring predictability and stability back to your revenue by joining the nation’s leading Medicare experts

As the IPPS and OPPS rules evolve, The Medicare Boot Camp—Hospital Version becomes an essential course for any revenue cycle or compliance professional. Everything from coding for visits to inpatient and outpatient status has changed. If you’re not up to date with your education, your revenue stream will suffer.

The Medicare Boot Camp—Hospital Version is completely updated to include the latest on the IPPS and OPPS rules. Our instructors debunk Medicare myths by teaching directly from CMS materials and regulations, rather than unsupported opinions or rhetoric.

Armed with accurate and up-to-date information, you will be prepared to better manage revenue cycle and government audits and implement improvements to strengthen reimbursement and compliance at your hospital or health system.

You will leave this course knowing how to:

• Use the rules, edits and modifiers to get bills paid fasterand drive down accounts receivable days

• Understand reimbursement rules to master your Chargemaster• Prevent inpatient denials• Conduct “self-audits” to receive Part B payment for inpatient cases• Properly use and bill for observation services• Implement best practices so you get the revenue you deserve

while staying in compliance

Comprehensive sections explain the complexities of:

• The 2-midnight benchmark and presumption• Inpatient order and certification requirements• The intricacies of the three-day rule• Physician supervision• Observation services and correct use of condition codes 44 and W2• Medically unlikely and other NCCI edits• ABN use and applicable billing rules• Self-administered drugs• Inpatient-only procedures• Laboratory packaging and separate payment

ONLY

$1,699PER

PERSON


3REGISTER FOR 2014 CLASSES TODAY!Visit www.hcprobootcamps.com or call 800-650-6787. For faster service when registering, please use the source code located above your address on mailing panel.

MEDICARE BOOT CAMP–HOSPITAL VERSION OUTLINE

DATESThe course outline is as follows:

Module 1: Finding and Understanding Medicare Guidelines

Module 2: Decoding the UB-04

Module 3: Medicare Claims Submission Fundamentals

Module 4: Medicare Edit Systems

Module 5: Coverage of Hospital Outpatient Services

Module 6: Outpatient Medical Necessity and Advanced Beneficiary Notices

Module 7: Nuts and Bolts of the Outpatient Prospective Payment System (OPPS)

Module 8: Calculating Outpatient Payment and Outliers

Module 9: Outpatient Non-diagnostic Services

Module 10: Diagnostic and Surgical Services

Module 11: Sorting out Patient Status: Observation Services and Inpatient Admissions

Module 12: Inpatient Non-Coverage and Special Billing Issues

Module 13: Inpatient Prospective Payment System (IPPS) and Patient Responsibility

Module 14: Inpatient Payment Factors

Module 15: Inpatient Payment Adjustments

BOOT CAMP SCHEDULE—Courses run 8:00 am–5:00 pm Monday through Thursday. 8:00 am–1:00 pm on Friday.

*Course agenda subject to change. For complete agenda, visit www.hcprobootcamps.com.

Seattle, WA | August 18–22Hampton Inn & Suites Seattle Airport206-244-5044

Las Vegas, NV | September 22–26Hyatt Place Las Vegas702-369-3366

San Diego, CA | October 6–10Homewood Suites by Hilton San Diego Airport/Liberty Station619-222-0500

Nashville, TN | November 10–14Homewood Suites by Hilton Nashville/Brentwood615-377-3332

Phoenix, AZ | December 8–12Homewood Suites by Hilton Phoenix/Avondale623-882-3315

For additional details regarding hotel

reservations and discounted room rates, please visit

www.hcprobootcamps.com.


CE CREDITSThis boot camp

offers Continuing Education Credits!

Go to www.hcprobootcamps.com

for more information.




Utilization Review Version

Master Medicare rules for utilization review

Medicare Boot Camp—Utilization Review Version is an intensive two-day boot camp focusing on the new Medicare requirements for patient status and the role of the utilization review (UR) committee.

UR is no longer the responsibility of a few. No matter your role, the Medicare Boot Camp—Utilization Review Version will teach you how to implement the new rules and leverage them for your facility.


• Executives, CMOs, VPMAs: Learn how to build aneffective UR committee and ensure physician advisorsare ready to implement the new rules

• UR committee members and physician advisors: Get the information youneed to make decisions regarding patient status that will be compliant whilenot leaving any money on the table.

• Compliance officers: Get a complete understanding of the UR rules so youcan ensure your facility is in compliance.

• Nurse administrators/case managers: Understand the details of the rules soyou can educate physicians on them.

• Revenue cycle staff: Learn how managing patient status plays a critical rolein correct reimbursement, and can stabilize inpatient reimbursement.

You will leave the course knowing:

• How to apply the 2-midnight benchmark and 2-midnight presumptions• The importance of continued monitoring of physician practice patterns• The advantages of post discharge versus concurrent patient status reviews• When self-denial is appropriate to take advantage of Part B payment for

an inpatient case• How NCDs, LCDs, and CEDs affect coverage of cases that meet the

2-midnight benchmark• The observation coverage rules and how they interact with the

new benchmark• When ABNs should be used for extended stays that don’t meet

medical necessity

ONLY

$1,099PER

PERSON



COURSE OUTLINE DATESThe course outline is as follows:

Module 1: Introduction to Medicare

Module 2: Medicare Coverage and Notices

Module 3: Patient Status: Outpatient

Observation and Inpatient Admission

Module 4: Utilization Review and Billing

Implications

Module 5: Payment for Outpatient Services,

Including Observation

Module 6: Payment for Inpatient Admissions,

Including Patient Responsibility

BOOT CAMP SCHEDULE—Courses run from 8:00am—5:00pm.


San Diego | September 17–18 Homewood Suites by Hilton San Diego Airport/Liberty StationHotel Phone Number619-222-0500




Register up to 90 days before course start date and

SAVE $100 Coupon code: BC14SV100

Register up to 60 days before course start date and

SAVE $50 Coupon code: BC14SV50

SAVE ON OUR LIVE OR ONLINE CLASSES









Critical Access Hospital Version

Master Medicare rules for critical access hospitals

Medicare Boot Camp—Critical Access Hospital Version is an intensive three-day Boot Camp that teaches you the complex Medicare rules applicable to this unique setting, including Medicare coverage, billing, coding, and payment.

With the evolving CMS regulations, your revenue stream will suffer if you’re not up to date with your education. Our instructors show you which rules apply to CAHs so you can successfully submit claims and get paid appropriately.


You will leave this course knowing how to:

• Apply the 2-midnight benchmark• Avoid compliance pitfalls• Ensure appropriate reimbursement• Ensure compliant inpatient orders and certifications• Properly use and bill for observation services• Submit accurate claims to Medicare, including Part A to B rebilling

ONLY

$1,199PER

PERSON



The course outline is as follows:

Module 1: Finding and Understanding Medicare Guidelines

Module 2: Overview of Critical Access Hospital (CAH) Designation

Module 3: Decoding the UB-04 Claim Form and Medicare Claims Submission Fundamentals

Module 4: Medicare Systems and Processes Related to Claims

Module 5: National Correct Coding Initiative (NCCI) Edits, Including the Proper Use of Modifiers

Module 6: Outpatient Medical Necessity and Advance Beneficiary Notices

Module 7: Overview of the Cost-Based Reimbursement System

Module 8: Coverage, Coding, and Billing for Outpatient Services: Hospital Provider-Based Clinics, Emergency Departments, Drugs, and Therapy Services

Module 9: Coverage, Coding, and Billing for Outpatient Services: Surgery, Radiology, and Laboratory

Module 10: Patient Status: Observation Services and Inpatient Admissions

Module 11: Coverage and Billing for Swing Bed Admissions

BOOT CAMP SCHEDULE—Courses run from 8:00am—5:30pm Monday through Wednesday


COURSE OUTLINE DATES

Denver, CO | September 15–17Hyatt Place Denver Tech Center303-804-0700

Dallas, TX | November 17–19Courtyard by Marriott Dallas DFW Airport South/Irving 972-790-8990











EXPERT TRAINERSKIMBERLY A. HOY BAKER, JDBaker is the director of Medicare and compliance for HCPro. She is the lead instructor for HCPro’s Medicare Boot Camp—Hospital Version and Medicare Boot Camp—Utilization Review Version, as well as an instructor for Medicare Boot Camp—Critical Access Hospital Version. She is a former hospital compliance officer and in-house legal counsel, and has developed and implemented corporatewide hospital compliance programs. In addition, Baker has experience conducting billing, compliance audits, and internal investigations.

DEBBIE MACKAMAN, RHIA, CPCOMackaman is an instructor for HCPro’s Medicare Boot Camp—Hospital Version and lead instructor for Medicare Boot Camp—Critical Access Hospital Version. She has over 20 years of experience in the healthcare industry, including both inpatient and outpatient prospective payment system and critical access hospital documentation, coding, and reimbursement issues. Mackaman most recently held the position of compliance officer and director of health information services for a healthcare system.

JUDITH KARES, JD, CPCKares is an instructor for HCPro’s Medicare Boot Camp—Hospital Version. She is a practicing attorney and compliance consultant with 24 years of experience representing hospitals, third-party payers, and other healthcare clients in the areas of healthcare contracting and regulatory compliance.

HUGH E. AARON, MHA, JD, CPC, CPC-H Aaron is the original developer of and an instructor for HCPro’s Medicare Boot Camp—Hospital Version. He is a senior advisor for healthcare for Virginia Capital Partners, LLC, a private equity fund based in Richmond, Va. He also owns The Aaron Group, LLC, a consulting firm focused on coding and reimbursement issues. Aaron is an adjunct assistant professor at the University of Richmond, where he teaches healthcare regulation.

Who should attend an HCPro Medicare Boot Camp—Hospital or—Critical Access Hospital Version?

• Admitting staff• Auditors and analysts• Billers• Billing Specialists• Case Managers• CDI specialists• Chargemaster coordinators

and managers• Clinical department heads

and managers

• Coding managersand supervisors

• Compliance officers• CPAs and lawyers• Directors of case management• Finance managers• Healthcare consultants• Health plan financial analyst ,

claims processing and providerrelations professionals

• HIM directors and managers

• Medicare administrativecontractors

• Patient access staff• Provider-based clinical personnel• Physician advisors• Quality Vice President• Recovery audit coordinators• Reimbursement managers• Vice presidents of

patient services• Vice presidents of quality

Who should attend an HCPro Medicare Boot Camp—Utilization Review Version?

• Case managers• CMOs• CNOs• Compliance officers

and auditors

• Fiscal intermediary personnel• Healthcare lawyers

and consultants• Nurse managers• UR coordinators

• UR committee members• UR physician advisors• Revenue cycle staff• VPMAs




AdvantageOur expert instructors teach right from the Medicare regulations, and do not rely on unsupported opinions or rhetoric. They show you where to find the rules and provide citations so you can find answers to your questions long after the Boot Camp is over.

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 beneficiariesare billed accurately and appropriately.

• Tools and skills to navigate Medicare rules: Our instructors providevaluable tools and resources that will help you prioritize and researchMedicare questions long after the Boot Camp ends.

• Hands-on learning: Attendees work a set of exercises after each moduleto ensure they understand the concepts and know how to apply rulesto 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 currentlyconduct more than 30 Medicare Boot Camp courses (open registrations andonsites) each year.

What your peers have said:”It was very much worth the time and tuition. Debbie was very patient and knowledgeable. She made the experience fabulous. She is a very valuable asset and happy to have had her as our instructor.”

Tami Lawson-Churchill, Bartlett Regional Hospital, Juneau, AK

“I have attended several of Kim’s workshops and find that she is an outstanding teacher and very knowledgeable.”

Janie Kellogg, Education Specialist, Billings Clinic, Billings, MT

“Overall, the class was very good. Kimberly’s knowledge base is exceptional. She manages the class extremely well, answering questions but keeping the class on track.“

Coleen Owens, Director of Utilization and Admissions,

Henry Ford Health System

“2-midnight rule explanation was great! Best conference I’ve been to. I learned a lot.“

Julie Ducheney, Director of Case Management, Lima Memorial Hospital




HCPro’s industry-leading instructors will travel to your facility, on your schedule to provide consistent training to all of your staff on the latest rules and guidance.

Our onsites offer all the same HCPro Boot Camp benefits:• CEs from a variety of healthcare organizations

• Instructors who have a unique combination of in-the-field andadult education expertise

• Course materials developed by instructors specifically for anintensive learning format

• Exercises and hands on learning activities

• The opportunity for your staff to network

HCPro’s onsite Boot Camps are a convenient and cost-effective way to train your staff. By avoiding the costly expense of travel your facility can save up to 60%.*

Choose from our catalogue of Boot Camps or work with our industry-leading instructors to develop a customized course. Contact HCPro at 877-233-8734 or at [email protected] for more information about HCPro Onsite Boot Camps.

*Savings based on the training and travel costs of 20 staff members.

BRING HCPRO’s

BOOTCAMPSTO YOUR FACILITY!


BOOTCAMPSTO YOUR FACILITY!

REGISTRATION

Organization

Name

Organization

Title

Address

City State Zip

Phone

Email

6. PAYMENT TYPE

m A check for my course fee is enclosed (made payable to HCPro, Inc.)

m Charge my course fee to (circle one) VISA Mastercard Am Ex Discover

Name on Card

Cardholder Street Address

Zip

Card Number Exp. Date

Copyright © 2014 HCPro, a division of BLR. All rights reserved.

*MAGNET™, MAGNET RECOGNITION PROGRAM®, and ANCC MAGNET RECOGNITION® are trademarks of the American Nurses Credentialing Center (ANCC).The products and services of HCPro are neither sponsored nor endorsed by the ANCC. The acronym “MRP” is not a trademark of HCPro or its parent company. HCPro is not affiliated in any way with The Joint Commission, which owns the JCAHO (Joint Commission on Accreditation of Healthcare Organizations) and Joint Commission trademarks, the Accreditation Council for Graduate Medical Education, which owns the ACGME trademark, or the Accreditation Association for Ambulatory Health Care (AAAHC).

Upon receipt of this form and your course fee, we will send confirmation of your registration, information about any manuals/texts required for class as well as hotel information so you can make

your reservations. This information is also available on our website www.hcprobootcamps.com.

Easy ways to register for your HCPro Boot Camp™ Mail HCPro

P.O. Box 5094Brentwood, TN 37024-5094

1. COURSE REGISTRATIONm $1,699 Medicare Boot Camp®—Hospital Versionm $1,199 Medicare Boot Camp®—Critical Access Hospital Version m $1,099 Medicare Boot Camp®—Utilization Review Version

2. TOTAL REGISTRATION RATE: ___________________________

3A. COURSE LOCATION (HOSPITAL VERSION): m Seattle, WA | August 18–22

3B. COURSE LOCATION (CRITICAL ACCESS HOSPITAL VERSION):

3C. COURSE LOCATION (UTILIZATION REVIEW VERSION): m San Diego, CA | October 17–18

4. SOURCE CODE: MT314641

5. ATTENDEE INFORMATION

Phone 800-650-6787Fax 800-785-9212URL to order: www.hcprobootcamps.comEmail: [email protected]

25192 MT314641

m Las Vegas, NV | September 22–26m San Diego, CA | October 6–10m Nashville, TN | November 10–14m Phoenix, AZ | December 8–12

m Denver, CO | September 8–10m Dallas, TX | November 17–19


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Documents

DON’T NAVIGATE MEDICARE - HCPropromos.hcpro.com/pdf/MT314641_MBC_Q2_Brochure.pdf · Including Observation Module 6: Payment for Inpatient Admissions, Including Patient Responsibility