Non-member January 2019 HCPro Boot Camp
For more information or to register contact:
When and Where: Tuesday and Wednesday, January 22 and 23, 2019*
Attendees will benefit most from attending both sessions but will still benefit from attending either, if it is not possible to attend both.
Tuesday, January 22: Utilization Review Boot Camp
8:30 AM - 5:00 PM (Check-in begins at 8:00 AM)
SAHA Offices, 125 Edinburgh South Drive; Cary, NC 27511
Wednesday, January 23: Medicare Intensive
9:00 AM - 5:00 PM (Check-in begins at 8:30 AM)
WakeMed Cary Hospital Conference Center, 1900 Kildaire Farm Road; Cary, NC 27518
Registration Deadline: January 15, 2019.
Cancellations must also be received by January 15, 2019.
Course Fee: $400 fee for each day or $600 to attend both. Includes handouts, lunch and continuing education credits.
Presenter:
Kimberly Anderwood Hoy Baker, JD, CPC
Kimberly Anderwood Hoy Baker, JD, CPC, is the director of Medicare and compliance for HCPro. She is a lead regulatory specialist for HCPro's Revenue Cycle Institute and is the lead instructor for HCPro's Medicare Boot Camp®—Hospital Version and Medicare Boot Camp®—Utilization Review Version. She is also an instructor for HCPro’s Medicare Boot Camp®—Critical Access Hospital Version. She is a former hospital compliance officer and in-house legal counsel, and has 10 years of experience teaching, speaking and writing about Medicare coverage, payment and coding regulations and requirements.
Course Description
Medicare Boot Camp -- Utilization Review Version is an intensive two-day course focusing on the Medicare regulatory requirements for patient status and the role of the utilization review (UR) committee.
Managing patient status plays a critical role in proper compliance, correct reimbursement, and stabilizing inpatient payments for the hospital. In 2018, CMS made significant changes to the inpatient-only list and contributes to change its strategies for auditing patient status. Don't become a target or leave money on the table-ensure the UR committee is ready to implement and leverage the regulatory requirements.
Following the first day of this session, attendees will be able to:
1. Describe CMS’ Proposed Changes to Order and Certification Requirements for Inpatients
2. Identify One Significant Finding from the OIG Report on the 2-Midnight Policy Implementation and Explain How it May Affect Your Patient Status Determinations
3. Identify Two Elements Physicians Should Including in Documentation for Medically Necessary Observation Stays
4. Describe Two Benefits of Delivering ABNs for Non-covered Observation
5. Identify Two Significant Changes to the Inpatient-Only List for 2019
6. Explain How Delays in Care Affect the 2-Midnight Benchmark
7. Describe How Case-By-Case Admissions Differ from Admissions under the 2-Midnight Benchmark
8. Identify Three Requirements of a Valid Determination under the UR CoPs
9. Explain Proper Use of Condition Codes 44 and W2
Following the second day of this session, attendees will be able to:
1. Identify Two Internal Policies that Should be Reviewed Related to Change in Uncompensated Care
2. Explain Proper Use of Modifiers JG and TB and Medicare 340B Drug Payment Policy
3. Describe How the New Laboratory Date of Service Policy Affects Billing of Laboratory Services by a Hospital
4. Identify 2 Significant Changes to the Inpatient-Only List for 2019
5. Describe Proper Reporting of Service Address for Claims from Multiple Provider-Based Locations
6. Describe payment changes for non-excepted departments in 2019
7. Describe How to Find Information on Edits Applied to Outpatient Claims
8. Explain How National Coverage Analyses Change Medicare Coverage Policy
9. Describe How to Find Medicare Coverage Policies and Articles
For more information or to register contact:
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.
This program has been approved for 15 CE credits for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA).
This program has been approved for 15 continuing education units towards fulfilling the requirements of the Certified Clinical Documentation Specialist (CCDS) certification, offered as a service of the Association of Clinical Documentation Improvement Specialists (ACDIS).
HCPro is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.
This program has been pre-approved by the Commission for Case Manager Certification to provide 15 continuing education credit to Certified Case Managers (CCMs).
HCPro is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
National Association for Healthcare Quality (NAHQ)
This program has been approved by the National Association for Healthcare Quality for CPHQ continuing education credits.
Earn up to 18 CPE Credits!
Program Level: Basic
Delivery Method: Group-Live
Field of Study: Specialized Knowledge and Applications
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.
Cancellations must be received by January 15, 2019. Subs are welcome, with email notification.
Questions?
Swati Bhardwaj ~ sbhardwaj@sahalliance.org ~ 919-350-1792
or
Erica Nelson ~ enelson@sahalliance.org ~ 919.350.2613
