MayFest

Acute Inpatient Prospective Payment System (IPPS) Hospital
9 – 10:15 a.m. ET

This session will include Payment Window Provisions (Preadmission Services), Inpatient Hospital Admission, Inpatient Basic Billing, Transfers, Repeat Admissions, Inpatient Hospital Discharges, Inpatient/Outpatient Claim Overlaps, A/B Rebilling and Resources.

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Comprehensive Error Rate Testing (CERT), Bridging the Gap to Better Outcomes  
10:30 – 11:45 a.m. ET

The CERT Program is designed to discuss improper payments in the Medicare Fee-for-Service program. CERT selects a sample of claims submitted during each reporting period. This session is designed to provide education on reducing error rates for the CMS-implemented process for improper payments in the Medicare Fee-for Service Program.

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Patient-Driven Payment Model (PDPM) SNF PPS
1 – 2:15 p.m. ET

This session will provide an overview and CMS updates for the Patient-Driven Payment Model (PDPM) SNF PPS.

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Part A Review of the Integrated Outpatient Claim Editor & Medicare Code Editor (MCE)
2:30 – 3:45 p.m. ET

This session will assist hospital outpatient providers to understand the role of outpatient claim editors and processing.

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Welcome to HHH for New Providers
9 – 10:15 a.m. ET

This session is designed to provide education to new providers and those who are not familiar with the new Home Health and Hospice website, eServices and additional resources to ensure success when filing claims to Medicare.

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2021 Request for Anticipated Payment (RAP) Process
10:30 – 11:45 a.m. ET

This session is designed to provide education and updates for the Calendar Year (CY) 2021 Home Health (HH) Request for Anticipated Payment (RAP) policies and information on the one-time Notice of Admission (NOA), which will eliminate RAP submissions for every period starting January 1, 2022.

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Hospice General Inpatient (GIP)
12:30 – 1:45 p.m. ET

Hospice General Inpatient Care (GIP) is for pain control or symptom management provided in an inpatient facility that cannot be managed in other settings. This session is appropriate for all hospice staff and will discuss the regulatory aspects of GIP, when GIP is appropriate, Office of Inspector General findings and documentation tips.

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Are You Familiar with the Other Medicare Contractors?
2 – 3:15 p.m. ET

This session will take a closer look at five of the Medicare Contractors: Comprehensive Error Rate Testing (CERT), Unified Program Integrity Contractor (UPIC), Supplemental Medical Review Contractor (SMRC), Qualified Independent Contractor (QIC), Quality Improvement Organization (QIO), and Recovery Audit Contractor (RAC). Participants will understand the purpose of each Medicare Contractor, how to properly respond, points of contact and other tips, if applicable.

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Part B MayFest: Medicare Follows the Money
10 – 11 a.m. ET

This Part B session will explore the importance of documentation and the consequences of documentation deficiencies and errors.

• Billing provider’s documentation
• Ordering/referring provider’s
• documentation responsibilities
• Documenting medical necessity
• Medical records maintained by a third party
• Using a medical records vendor or service
• Signatures
• Financial Consequences

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Part B Mayfest: Why Deny?
11:30 a.m. – 12:30 p.m. ET    

Denials can be decreased by various methods, and we’d like to share some feedback from appeals, the Provider Contact Center and Medical Review that will assist providers in winning the challenge of denied claims.

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Part B MayFest: Railroad Medicare — Everything you Need to Know When Billing Part B Services for Your Railroad  Medicare Patients
1:30 – 2:30 p.m. ET  

Have questions about Railroad Medicare? Whether you’re a provider that needs to know how to tell if a patient has Railroad Medicare, needs instructions on how to start billing Railroad Medicare claims, or if you’d simply like more information about Railroad Medicare programs, this session is for you. During this informative session, we will answer frequently asked questions about Railroad Medicare enrollment, claims submission, appeals, medical review, the Comprehensive Error Rate Contractor (CERT), eServices, and more.

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Part B MayFest: Palmetto GBA Website Tutorial and Ask in Chat
3 – 4 p.m. ET

This session gives providers a tour through the new website organization and navigation structure, the new pages for popular topics, and some additional enhancements that will improve your website experience. After the session, we will hold an open chat session which allows providers to ask questions using the ON24 Q & A box while representatives from Appeals, eServices, Provider Enrollment and the PCC/Concierge team are available to assist with general questions.

Register Here